Individual
DR. JANELLE MARIE TIDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
5847 SW 29TH ST, TOPEKA, KS 66614-2462
(785) 273-7292
Mailing address
5847 SW 29TH ST, TOPEKA, KS 66614-2462
(785) 273-7292
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LCP 272
KS
Other
Enumeration date
09/11/2007
Last updated
12/04/2019
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