NPI 1568629004
Judy Tisdall, PSYDLCPC
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
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.