AMY VALENTINE TIDIK

SAN LUIS OBISPO, CA
NPI1043526056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  15475)
Enumeration Date2010-08-27
Last Update Date2010-08-27
Business Address
Ms. AMY VALENTINE TIDIK MA,CCC-Sp
1130 GROVE ST
SAN LUIS OBISPO, CA 93401-2914
Phone number: 805-543-3945
Mailing Address
Ms. AMY VALENTINE TIDIK MA,CCC-Sp
5875 SALISBURY LN
SAN LUIS OBISPO, CA 93401-8267
Phone number: 805-459-5775