John Martin Tidd in Cincinnati - Clinical

John Martin Tidd - NPI 1780808741

John Martin Tidd is a Clinical in Cincinnati, Ohio. John Martin Tidd practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Martin Tidd is 1780808741. The last update date is 2007-07-08.

John Martin Tidd's current location address is 11497 Springfield Pike, Cincinnati, Ohio. You can contact this provider via phone number 5137729300 and fax number 5137729302. The mailing address for John Martin Tidd is 11497 Springfield Pike, Cincinnati, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name John Martin Tidd
Address 11497 Springfield Pike, Cincinnati, Ohio
Phone Number 5137729300
Fax Number 5137729302
Sole Proprietor N
Credentials PSY.D.

NPI Number Detail

NPI Number 1780808741
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11497 Springfield Pike
City Cincinnati
State Ohio (OH)
Post Code 452463551
Phone Number 5137729300
Fax Number 5137729302

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 4311
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
976583 OH --

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FAQs about John Martin Tidd

What is the John Martin Tidd's unique identification number?

The John Martin Tidd has been assigned the NPI (National Provider Identifier) Number 1780808741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of John Martin Tidd?

The John Martin Tidd is situated at 11497 Springfield Pike, in the city of Cincinnati, state of OH, with the zip code 452463551.

What is John Martin Tidd's specialized field of practice, and what is the corresponding taxonomy classification code?

The John Martin Tidd's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.

On what date was the 1780808741 assigned to John Martin Tidd?

The John Martin Tidd was issued its 1780808741 on 2007-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to John Martin Tidd, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to John Martin Tidd, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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