Tisdale, Alicia Ellen

Tisdale, Alicia Ellen is an individual health care provider with primary practice located at 5665 W Maple Rd Suite A, West Bloomfield MI 48322-3741. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Tisdale, Alicia Ellen can be contacted via phone (248) 626-8833.

Contact Information

Primary practice address
5665 W Maple Rd Suite A West Bloomfield MI 48322-3741
Phone: (248) 626-8833
Fax: (248) 626-8836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301003007 Michigan

Profile Details

NPI number 1083622914
LBN Legal business name Tisdale, Alicia Ellen
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 8th, 2007 - about 18 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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