Courtland Benjamin Tisdale in Chicago - Clinical
Courtland Benjamin Tisdale - NPI 1558527531
Courtland Benjamin Tisdale is a Clinical in Chicago, Illinois. Courtland Benjamin Tisdale practices all healthcare services and medical treatments related to Clinical. The NPI Number for Courtland Benjamin Tisdale is 1558527531. The last update date is 2008-07-30.
Courtland Benjamin Tisdale's current location address is 233 E Erie St, Chicago, Illinois. You can contact this provider via phone number 8473233593. The mailing address for Courtland Benjamin Tisdale is 233 E Erie St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Courtland Benjamin Tisdale |
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Address | 233 E Erie St, Chicago, Illinois |
Phone Number | 8473233593 |
Fax Number | |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1558527531 |
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Provider Enumeration Date | 2008-07-30 |
Last Updated Date | 2008-07-30 |
Provider Mailing Address Detail
Address | 233 E Erie St |
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City | Chicago |
State | Illinois (IL) |
Post Code | 606112926 |
Phone Number | 8473233593 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 71007511 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Post Comment/ Review Below
What is the unique provider identifier assigned to Courtland Benjamin Tisdale?
The Courtland Benjamin Tisdale has been issued the NPI (National Provider Identifier) 1558527531 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Courtland Benjamin Tisdale's facilities are situated?
The facilities of Courtland Benjamin Tisdale are physically located at the following address: 233 E Erie St, Chicago, IL, 606112926.
What is Courtland Benjamin Tisdale's specialized field of practice, and what is the corresponding taxonomy classification code?
The Courtland Benjamin Tisdale's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When was the Courtland Benjamin Tisdale's 1558527531 issued?
The Courtland Benjamin Tisdale's 1558527531 was issued on 2008-07-30.
As of what date were the details related to Courtland Benjamin Tisdale most recently updated or revised?
The information pertaining to Courtland Benjamin Tisdale, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-30.
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