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Contact Information

JANELLE M TIDEMANN, LCP
5847 SW 29TH ST
TOPEKA, KS66614-2462
 Phone: 785-273-7292
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JANELLE M TIDEMANN · (Female)

NPI Number 1437344694
Status Active
Credentials LCP
Entity Individual
Enumeration date 09/11/2007
Last updated 12/04/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # LCP 272
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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