Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELEANOR ARLENE TIDBALL, LPC-IT
Active Sole ProprietorELEANOR ARLENE TIDBALL, LPC-IT is a Counseling Psychologist healthcare provider located in NEW BERLIN, Wisconsin. NPI 1629607619 is currently active in the NPPES registry. Verify at CMS.
Counseling Psychologist · NEW BERLIN, WI
Registration Details
- NPI Number
- 1629607619
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2020 (6.3857082093311 yrs)
- Last Updated
- Apr 2, 2020
- License
-
4590-226 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13320 W GRANGE AVENEW BERLIN, WI, 531518131Browse WI providers · Browse ZIP 53151
- Phone
- 4144673780
- Primary Specialty
-
Counseling Psychologist
103TC1900X
Other Counseling Psychologist Providers in NEW BERLIN, WI
| Name | Credential | NPI |
|---|---|---|
| ALEXANDRIA R DRAGINIS | LPC-IT | 1225602501 |
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.