Search › Louisiana › 235Z00000X
Freddy Tisdale, MA CCCSLP
NPI 1023109808 · on the registry since 2006
Practice
- Address
- 255 W Florida St
Suite 200 Jefferson Speech & Language Center Of St Tamm
Mandeville, LA 70448 - Phone
- (985) 626-8403
- Fax
- (985) 727-9871
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 235Z00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana