Individual
MS. ANGELA AVRETT TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
700 19TH ST S, AUDIOLOGY/SPEECH PATHOLOGY(126), BIRMINGHAM, AL 35233-1927
(205) 933-8101
(205) 933-4464
Mailing address
PO BOX 72053, TUSCALOOSA, AL 35407-2053
(205) 556-6952
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2020
AL
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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