Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THERESA CLEMENT TISDALE, PH.D.
Active Sole ProprietorDR. THERESA CLEMENT TISDALE, PH.D. is a Clinical Psychologist healthcare provider located in GLENDORA, California. NPI 1629316682 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · GLENDORA, CA
Registration Details
- NPI Number
- 1629316682
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2013 (13.543366130796 yrs)
- Last Updated
- Jan 26, 2013
- Licenses
-
18587 (CA)18587 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 E MEDA AVESUITE 110GLENDORA, CA, 917412689Browse CA providers · Browse ZIP 91741
- Phone
- 6262245204
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
Other Clinical Psychologist Providers in GLENDORA, CA
| Name | Credential | NPI |
|---|---|---|
| DONALD L UNRUH | PHD | 1154365435 |
| THOMAS JONATHAN MALCOLM | PH.D. | 1528083953 |
| DR. ANGELA DONAHUE | PH.D. | 1437170560 |
| DR. JAMES JOSEPH DE SANTIS | PH.D. | 1558385880 |
| DR. JULIE ANNE VERNER | PHD | 1770669335 |
| DR. TRICIA LYNN DUNCAN-HASSEL | PSY.D. | 1104993898 |
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.