Individual provider · Type 1 NPI
Alicia Ellen Tisdale, PhD
Psychologist · West Bloomfield, MI
Practice location
5101 Willow Pond Drive
West Bloomfield, MI 48323
Mailing address
5101 Willow Pond Dr
West Bloomfield, MI 48323-2094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 6301003007 (MI) |
| Clinical Psychologist | 103TC0700X | 6301003007 (MI) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1083622914
Alicia Ellen Tisdale, PhD's National Provider Identifier is 1083622914, issued on Aug 4, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in West Bloomfield, MI. The record was last updated on Oct 30, 2025.