| Kathryn Tidaback, MS CCC-SLP | |
|
820 Bay Ave Ste 212, Capitola, CA 95010-2103 | |
| (831) 854-2060 | |
| Not Available |
| Full Name | Kathryn Tidaback |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 820 Bay Ave Ste 212, Capitola, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821614934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 27759 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Tidaback, MS CCC-SLP 1031 Brommer St, Santa Cruz, CA 95062-2807 Ph: (520) 780-0666 | Kathryn Tidaback, MS CCC-SLP 820 Bay Ave Ste 212, Capitola, CA 95010-2103 Ph: (831) 854-2060 |
Cristienne Colip, SP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 820 Bay Ave Ste 210, Capitola, CA 95010 Phone: 831-854-2060 Fax: 408-604-0214 | |
Nina Rose Coonerty, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 820 Bay Ave, Capitola, CA 95010 Phone: 831-854-2060 | |
Alexa Joy Christos, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 820 Bay Ave Ste 210, Capitola, CA 95010 Phone: 831-854-2060 Fax: 408-604-0214 | |
Ms. Maggie Jeanne Long, CF- SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 820 Bay Ave Ste 212, Capitola, CA 95010 Phone: 831-854-2060 |