MR. MATTHEW TISDALE


Address: 636 Silvershore Dr, Pensacola, FL 32507-3345
Phone: 8582058834

MR. MATTHEW TISDALE (NPI# 1104288034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104288034
Entity Type Individual
Full Name MR. MATTHEW TISDALE
Practice Address 636 Silvershore Dr
Pensacola
FL 32507-3345
Practice Telephone 8582058834
Mailing Telephone 8582058834
Enumeration Date 2016-03-21
Last Update Date 2016-03-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SA13921 FL Speech, Language and Hearing Service Providers

Office Location

Street Address 636 SILVERSHORE DR
City PENSACOLA
State FL
Zip Code 32507-3345

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538725163 Rachel Lynn Cain Social Worker Jacc Hudvash C/o Rachel Cain, 790 Veteran's Way, Pensacola, FL 32507 2019-05-20
1710489562 Erika Ruth Atkins Developmental Therapist 14530 Perdido Key Dr., Unit 6, Pensacola, FL 32507 2018-03-07
1013431600 Megan Wohlers Optometrist 12591 Sorrento Rd Ste B, Pensacola, FL 32507 2017-07-26
1568834182 Kalia Belessis Behavioral Analyst 30 S. 3rd Street, Pensacola, FL 32507 2015-10-22
1245677327 Pensacola Imaging, LLC Radiology 12385 Sorrento Road, Suite B1, Pensacola, FL 32507 2013-05-29
1518301696 Naval Hospital Pensacola Military/U.S. Coast Guard Pharmacy 5820 West Highway 98, Bldg 3737, Pensacola, FL 32507 2013-04-19
1851528764 Xin Wei Internal Medicine 6000 West Highway 98, Apo, AP 32507 2009-06-18
1205033842 Lori Lynn Douglass Day Training, Developmentally Disabled Services 4711 Huron Dr, Pensacola, FL 32507 2007-06-28
1346461985 Jennifer Ann Sculley Pharmacist 13019 Sorrento Road, Pensacola, FL 32507 2007-05-01
1528183704 Al M Ridlehoover Dentist 302 W Sunset Ave, Pensacola, FL 32507 2007-03-20
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972113926 Jennifer Messer Speech-Language Pathologist 7830 Pine Forest Rd, Pensacola, FL 32526-8404 2020-08-05
1760007314 April Wade Pope Speech-Language Pathologist 542 Northcreek Dr, Pensacola, FL 32514-9523 2020-06-10
1518512532 Kristin E. Schultz Speech-Language Pathologist 874 Upham Ct, Pensacola, FL 32508-1016 2019-08-06
1245899327 Elizabeth Jewel Jones Speech-Language Pathologist 1290 E Nine Mile Rd, Pensacola, FL 32514-1653 2019-06-11
1285155812 Megan Beasley Speech-Language Pathologist 1717 N E St Ste 236, Pensacola, FL 32501-6390 2017-07-05
1922451319 Brianne Lee Salzman Speech-Language Pathologist 5500 Navaho Dr, Pensacola, FL 32507-8742 2016-07-20
1265883565 Pamela Kay Windham Speech-Language Pathologist 16301 N Shore Dr, Pensacola, FL 32507-8373 2016-06-28
1427407352 Tamara Bidstrup Speech-Language Pathologist 101 E Romana St Apt 406, Pensacola, FL 32502-5861 2016-06-10
1821455874 Melissa Simmons Speech-Language Pathologist 1355 Pinnacle Dr Apt A, Pensacola, FL 32504-8081 2016-01-21
1568828911 Brandy Nicole Ward Speech-Language Pathologist 7939 Woodbrook Rd, Pensacola, FL 32526-7866 2016-01-14
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Competitor

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City PENSACOLA
Zip Code 32507

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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