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Mrs. Dawn Marie Tisdale
Peer Specialist in Buffalo, New York
NPI 1205584497

Dawn Marie Tisdale is a Peer Specialist based in Buffalo, NY. Dawn Marie Tisdale practices in Buffalo, NY. The NPI Number for Dawn Marie Tisdale is 1205584497 and holds a License No. (New York).

The current practice location address for Dawn Marie Tisdale is 1021 Broadway St Fl 5, Buffalo, NY and can be reached out via phone at 716-803-3131.

Location: 1021 Broadway St Fl 5, Buffalo, NY, 14212-1460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205584497
Provider Name
Dawn Marie Tisdale
Credential
Provider Entity Type
Individual
Gender
Female
Address
1021 Broadway St Fl 5, Buffalo, NY, 14212-1460
Phone Number
716-803-3131
Fax Number
Provider Enumeration Date
03/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1021 Broadway St Fl 5
City
Buffalo
State
New York
Zip
14212-1460
Phone Number
716-803-3131
Fax Number
person
Provider Business Mailing Address Details
Address
1021 Broadway St Fl 5
City
Buffalo
State
New York
Zip
14212-1460
Phone Number
716-803-3131
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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