MS. AMY TIDIK, MA,CCC-SP

Speech-Language Pathologist

Active Individual
NPI: 1043526056

Practice Address

1130 GROVE ST
San Luis Obispo, CA 93401

Phone: (805) 543-3945

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes 15475 (CA)

Frequently Asked Questions

NPI 1043526056 is the National Provider Identifier for MS. AMY TIDIK, MA,CCC-SP, a Speech-Language Pathologist provider located in San Luis Obispo, CA. This NPI was enumerated on August 27, 2010.
MS. AMY TIDIK, MA,CCC-SP practices at 1130 GROVE ST, San Luis Obispo, CA 93401.

Quick Facts

NPI
1043526056
Type
Individual
Enumerated
Aug 27, 2010
Last Updated
Aug 27, 2010

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