Matthew Tisdale

Speech-Language Pathologist · Pensacola, FL

Individual Active NPI

NPI number 1104288034

Practice location

636 Silvershore Dr
Pensacola, FL 32507-3345
Phone
(858) 205-8834

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NPI record

NPI
1104288034
Entity type
Individual (Type 1)
Enumeration date
March 21, 2016
Last updated
March 21, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X SA13921 FL

About Matthew Tisdale

Matthew Tisdale is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 636 Silvershore Dr, Pensacola, FL 32507-3345. The NPI number 1104288034 was assigned on March 21, 2016 and the record was last updated on March 21, 2016.

Matthew Tisdale lists a license in the registry: #SA13921 (FL) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Tisdale?

The NPI number is 1104288034.

What is the phone number of Matthew Tisdale?

The phone number listed for the practice location is (858) 205-8834.

Where is Matthew Tisdale located?

636 Silvershore Dr, Pensacola, FL 32507-3345.

What is the taxonomy code for Matthew Tisdale?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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