Kathy Matlock Tidwell

  • 1669401311 NPI Number
  • |
  • Actived: 17 years ago
  • |
Kathy Matlock Tidwell is a health care provider based in Boise, ID. The NPI Number is 1669401311 and it has been active since 17 years ago. The specialty is Clinical, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Clinical services, Kathy Matlock Tidwell is an excellent option. We are here to help you get the care you need.

Recently Active NPIs

Overview of Kathy Matlock Tidwell

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 07/02/2006
  • Last updated: 06/16/2010

Primary Scrop of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 5999 W State St
    Boise, ID 83703
  • Phone: 208-853-5095
  • Fax: 208-853-5125

Provider Practice Location

  • Address: 5999 W State St
    Boise, ID 83703
  • Phone: 208-853-5095
  • Fax: 208-853-5125

Authorized Official

  • Name: MS. Kathy Tidwell LCSW
  • Position/Title: Owner
  • Telephone Number: 208-853-5095

Scope of Practice

  • Taxonomy Code: 1041C0700X
  • Specialty: Clinical
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 806014000
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: ID
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Kathy Matlock Tidwell?
  • A: The npi number for Kathy Matlock Tidwell is 1669401311.
  • Q: What are Kathy Matlock Tidwell's specialties?
  • A: Kathy Matlock Tidwell's specialties are Clinical and different specialities.
  • Q: Where is Kathy Matlock Tidwell business practice location?
  • A: Kathy Matlock Tidwell business practice location is 5999 W State St, Boise, ID 83703.
  • Q: How to contact Kathy Matlock Tidwell?
  • A: You can contact Kathy Matlock Tidwell via 208-853-5095.
  • Q: What is the authorized official for Kathy Matlock Tidwell?
  • A: The authorized office name is MS. Kathy Tidwell LCSW with position/title is Owner and you can reach the authorized official via phone number 2088535095.
Medicare Specialty
View all Specialties
© 2019 MDNPI.com - { Medical NPI }
Content provided by MDNPI.com mainly comes from the Centers for Medicare & Medicaid Services (CMS) published data, and the FOIA-disclosable NPPES health care provider data file.