Provider Demographics
NPI:1174045595
Name:GIDMAN, BETH ANN (AUD)
Entity type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:GIDMAN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2731 E BATTLEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-3981
Mailing Address - Country:US
Mailing Address - Phone:417-397-3200
Mailing Address - Fax:417-244-0830
Practice Address - Street 1:2731 E BATTLEFIELD RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-3981
Practice Address - Country:US
Practice Address - Phone:417-397-3200
Practice Address - Fax:417-244-0830
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017024442237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter