Provider Demographics
NPI:1669202487
Name:SNEDIGAR, TALITHA JOELLE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:TALITHA
Middle Name:JOELLE
Last Name:SNEDIGAR
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3455 E SWALLOWTAIL LN # 2
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-9292
Mailing Address - Country:US
Mailing Address - Phone:907-250-2536
Mailing Address - Fax:
Practice Address - Street 1:11620 N COPPER SPRING TRL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85737-9469
Practice Address - Country:US
Practice Address - Phone:250-591-0804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP15388235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist