Taylor Nichole Tidmore, MCD CCC-SLP is a
Speech-language Pathologist based in Maylene, Alabama. Taylor Nichole Tidmore is licensed to practice in Alabama (license number 4341) and her current practice location is
109 Lane Park Dr, Maylene, Alabama. She can be reached at her office (for appointments etc.) via phone at
(205) 547-1652.
NPI number for Taylor Nichole Tidmore is 1821656729 and her current mailing address is 109 Lane Park Dr, Maylene, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821656729.
Healthcare Provider's Profile
Full Name | Taylor Nichole Tidmore |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 109 Lane Park Dr, Maylene, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821656729
- Provider Enumeration Date: 06/05/2019
- Last Update Date: 08/22/2024
Medical Identifiers
Medical identifiers for Taylor Nichole Tidmore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821656729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 4341 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Taylor Nichole Tidmore is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Taylor Nichole Tidmore, MCD CCC-SLP 109 Lane Park Dr, Maylene, AL 35114-6085 Ph: (205) 547-1652 | Taylor Nichole Tidmore, MCD CCC-SLP 109 Lane Park Dr, Maylene, AL 35114-6085 Ph: (205) 547-1652 |
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