Tisdale, Theresa Clement

Tisdale, Theresa Clement is an sole proprietor health care provider with primary practice located at 150 E Meda Ave Suite 110, Glendora CA 91741-2689. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Tisdale, Theresa Clement can be contacted via phone (626) 224-5204.

Contact Information

Primary practice address
150 E Meda Ave Suite 110 Glendora CA 91741-2689
Phone: (626) 224-5204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 18587 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X 18587 California

Profile Details

NPI number 1629316682
LBN Legal business name Tisdale, Theresa Clement
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2013
Last updated Jan 26th, 2013 - about 13 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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