Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023109808 Individual Practitioner Female Practitioner

Freddy G Tisdale , MA CCCSLP

Speech-Language Pathologist • Mandeville, LA

Professional Overview & Biography Verified Profile Summary

Freddy Tisdale, MA CCCSLP is a registered healthcare professional specializing in Speech-Language Pathologist in Mandeville, LA. Practice services are available at 255 W FLORIDA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

255 W Florida St
Suite 200 Jefferson Speech & Language Center Of St Tamm

Mandeville, LA 70448

Telephone 9856268403
Fax 9857279871
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Mandeville, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
51 Specialists

Practicing in Mandeville, LA (3335 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License LA 12008332

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License LA 4135

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Gretchen Bourgeois , SLP

Speech-Language Pathologist

NPI 1023599297

Speech-Language Pathologist

Tara Grissom , MS CCC-SLP

Speech-Language Pathologist

NPI 1023783255

MSCCCSLP

Lauren Maestri , MS

Speech-Language Pathologist

NPI 1164876678

Master of Science

Randall Krieger

Speech-Language Pathologist

NPI 1184834673
Kaitlin Crum , MCD CCC-SLP

Speech-Language Pathologist

NPI 1235540204

MCDCCCSLP

Melissa Grand

Speech-Language Pathologist

NPI 1285860783

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 255 W FLORIDA ST, SUITE 200 JEFFERSON SPEECH & LANGUAGE CENTER OF ST TAMM, MANDEVILLE, LA 70448 (Tel: 9856268403)

📍
Updated Business Mailing Address July 08, 2007

Registered at 255 W FLORIDA ST, SUITE 200 JEFFERSON SPEECH & LANGUAGE CENTER OF ST TAMM, MANDEVILLE, LA 70448 (Tel: 9856268403)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as FREDDY TISDALE, MA CCCSLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #12008332 in LA)

🟢
Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023109808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

255 W Florida St, Suite 200 Jefferson Speech & Language Center Of St Tamm

Mandeville, LA 70448

Phone: 9856268403

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.