Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eleanor Arlene Tidball, LPC-IT

Individual provider Counseling Psychologist · NPI 1629607619

Eleanor Arlene Tidball, LPC-IT is a Counseling Psychologist in New Berlin, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
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Practice location Address checks out

13320 W Grange Ave
New Berlin, WI 53151-8131
Phone: (414) 467-3780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 4590-226 (WI)

Record details

NPI number1629607619
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorYes
NPI enumeratedApril 2, 2020
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020

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