Glen Tisdale's National Provider Identifier (NPI) Details
Glen Tisdale, LPC
NPI: 1851843437
Enumeration Date: 2016-10-28
Last updated: 2024-09-12
Sole Proprietor: YES
Status: active
Postal Address: 4235 VALLEYFIELD ST, SAN ANTONIO, TX
Phone: 210-709-5848
Primary Practice Address: 4235 VALLEYFIELD ST, SAN ANTONIO, TX
Practice's phone: 210-709-5848