Search › Ohio › 101YA0400X
Jenise Tidd, LICDC-CS
NPI 1447765821 · on the registry since 2017
Practice
- Address
- 865 S Patterson Blvd
Dayton, OH 45402 - Phone
- (937) 966-4673
- Clinicians at this address
- 196
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
101YA0400X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-02-16
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 Ohio