Individual
ANNA CAREY-TIEDTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
375 HEATHERLY LN, NEW HAVEN, MO 63068-2193
(573) 205-2512
Mailing address
PSC 477 BOX 742, FPO, AP 96306-0008
(573) 205-2512
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
29597
CA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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