Search › Idaho › 1041C0700X
Tiara Littledyke, LCSW
NPI 1588904049 · on the registry since 2013
Practice
- Address
- 815 N College Rd
Twin Falls, ID 83301 - Phone
- (208) 814-9100
- Fax
- (208) 814-9903
- Organisation at this address
- St Lukes Magic Valley Regional Medical Center Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Additional practice sites
- 750 N Freedom Blvd, Provo, UT
- 1140 W 500 S Ste 9, Vernal, UT
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
1041C0700X - Licence states on file
- UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-16
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 Idaho