Individual
TAMIKA TAYLOR LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
801 N 11TH ST, SAINT LOUIS, MO 63101-1015
(314) 633-5344
Mailing address
3573 NORBERG DR, FLORISSANT, MO 63031-1168
(314) 830-4657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006024385
MO
Other
Enumeration date
07/22/2007
Last updated
10/27/2011
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