Miss Jennifer E Tisdell
Developmental Therapist in South Hadley, Massachusetts
1467634683- Practice location
- 30 Old Lyman RD, South Hadley, MA 01075-2630
- Phone
- 413-533-7140
- Fax
- —
- Last updated
- November 29, 2007
Jennifer Ellen Tisdell is a Developmental Therapist based in South Hadley, MA. Jennifer Ellen Tisdell practices in South Hadley, MA. The NPI Number for Jennifer Ellen Tisdell is 1467634683 and holds a License No. s60873821 (MA). The current practice location address for Jennifer Ellen Tisdell is 30 Old Lyman RD, South Hadley, MA 01075-2630 and can be reached out via phone at 413-533-7140.
Provider Profile Details
- NPI Number
- 1467634683
- Provider Name
- Jennifer Ellen Tisdell
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 30 Old Lyman RD, South Hadley, MA 01075-2630
- Phone Number
- 413-533-7140
- Primary Taxonomy
- Developmental Therapist · 222Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 29, 2007
- Last Update Date
- November 29, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Old Lyman RD
South Hadley, MA 01075-2630 - City
- South Hadley
- State
- Massachusetts
- Zip
- 01075-2630
- Phone Number
- 413-533-7140
Provider Business Mailing Address Details
- Address
- 18 Keefe Ave
Holyoke, MA 01040-2213 - City
- Holyoke
- State
- MA
- Zip
- 01040-2213
- Phone Number
- 413-536-8287
License Information
- License Number
- s60873821
- License State
- MA
- Taxonomy
- Developmental Therapist · 222Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Miss Jennifer E Tisdell?
The NPI number of Miss Jennifer E Tisdell is 1467634683. It was assigned on November 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Miss Jennifer E Tisdell?
Miss Jennifer E Tisdell is registered under the primary taxonomy Developmental Therapist (code 222Q00000X), licensed in MA under license number s60873821.
Where does Miss Jennifer E Tisdell practice?
The practice location is 30 Old Lyman RD, South Hadley, MA 01075-2630. The office can be reached at 413-533-7140 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467634683 directly on the NPPES registry website.