Individual
ANNA KARLY TIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1208 3RD AVE S, BIRMINGHAM, AL 35233-1311
(205) 638-6747
Mailing address
1208 3RD AVE S, BIRMINGHAM, AL 35233-1311
(205) 638-6747
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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