# CASEY RENAE TISDALE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518289198
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 12083868ASHA | — | Yes |
| 235Z00000X | Speech-Language Pathologist | 2753 | AL | — |

## Other

- **Enumeration date:** 02/23/2010
- **Last updated:** 10/10/2018