Individual
LAUREN TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1535 N MOUNT JULIET RD, MT JULIET, TN 37122-3315
(615) 560-6622
Mailing address
1535 N MOUNT JULIET RD, MT JULIET, TN 37122-3315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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