Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Theresa Clement Tisdale, PHD

Individual provider Psychologist · NPI 1629316682

Dr. Theresa Clement Tisdale, PHD is a Psychologist in Glendora, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

150 E Meda Ave Ste 110
Glendora, CA 91741-2689
Phone: (626) 224-5204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 18587 (CA)
Psychologist Taxonomy 103T00000X · Licence 18587 (CA)

Record details

NPI number1629316682
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 26, 2013
Last updated in NPPESJanuary 26, 2013

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