Individual provider · Type 1 NPI

Paige Tiedeman, TLLP

Clinical Psychologist · Portland, OR

NPI number 1992339253 Active

Practice location

1411 SW Morrison St Ste 310
Portland, OR 97205-1945

Other practice locations

  • 595 Forest Ave, Plymouth, MI 48170-1775 · (734) 446-5466

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X6301018372 (MI)
Psychologist 103T00000X6361007588 (MI)

Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1992339253

Paige Tiedeman, TLLP's National Provider Identifier is 1992339253, issued on Feb 26, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Nov 28, 2023.