Donahue, Elise Carolyn Tisdale

Donahue, Elise Carolyn Tisdale is an sole proprietor health care provider with primary practice located at 5860 Kappa St , La Mesa CA 91942-2823. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Donahue, Elise Carolyn Tisdale can be contacted via phone (619) 855-4900.

Contact Information

Primary practice address
5860 Kappa St La Mesa CA 91942-2823
Phone: (619) 855-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-24238
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1497138903
LBN Legal business name Donahue, Elise Carolyn Tisdale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2015
Last updated Dec 29th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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