Whalio Doctors

NPI 1568629004

Judy Tisdall, PSYDLCPC

Practitioner Psychoanalyst Schaumburg, IL

Practice location

Address
953 N Plum Grove Rd Suite B, Schaumburg, IL 60173-5189
Phone
(847) 413-9001
Fax
(847) 413-0491

Registered specialties

Psychoanalyst Primary
Behavioral Health & Social Service Providers Taxonomy 102L00000X

Registry record

NPI
1568629004
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 May 2008
Record last updated
21 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.