Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALICIA ELLEN TISDALE, PHD
ActiveDR. ALICIA ELLEN TISDALE, PHD is a Psychologist healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1083622914 is currently active in the NPPES registry. Verify at CMS.
Psychologist · WEST BLOOMFIELD, MI
Registration Details
- NPI Number
- 1083622914
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 4, 2006 (19.992193496815 yrs)
- Last Updated
- Oct 30, 2025
- Licenses
-
6301003007 (MI)6301003007 (MI)
Practice Information
- Address
-
5101 WILLOW POND DRIVEWEST BLOOMFIELD, MI, 48323Browse MI providers · Browse ZIP 48323
- Phone
- 2489741783
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Clinical Psychologist
Other Psychologist Providers in WEST BLOOMFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| DR. BETTE DIANE GLICKFIELD | PH.D. | 1922079284 |
| MR. ANDREW HOWARD BLINDER | M.A., L.L.P | 1164464244 |
| LUCINDA ORWOLL | — | 1376564591 |
| MR. DAVID JACOB WARTEL | PHD | 1467474288 |
| CAROL ANN LOVE LEACH | MA LLP | 1114931615 |
| DR. STEVEN SPECTOR | PHD | 1366456766 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.