Individual
MARY ELIZABETH ANGELL TIEDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
505 CEDAR AVE STE B1, MARYSVILLE, WA 98270-4561
(425) 405-0837
(425) 382-2146
Mailing address
10119 5TH PL SE, LAKE STEVENS, WA 98258-1931
(570) 899-2278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01264L
MD
235Z00000X
Speech-Language Pathologist
Primary
61471998
WA
Other
Enumeration date
11/02/2016
Last updated
11/20/2023
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