| Eleanor Arlene Tidball, LPC-IT | |
|
13320 W Grange Ave, New Berlin, WI 53151-8131 | |
| (414) 467-3780 | |
| Not Available |
| Full Name | Eleanor Arlene Tidball |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Counseling |
| Location | 13320 W Grange Ave, New Berlin, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629607619 | NPI | - | NPPES |
| 19943852 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 4590-226 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eleanor Arlene Tidball, LPC-IT 13320 W Grange Ave, New Berlin, WI 53151-8131 Ph: (414) 467-3780 | Eleanor Arlene Tidball, LPC-IT 13320 W Grange Ave, New Berlin, WI 53151-8131 Ph: (414) 467-3780 |
Alexandria R Draginis, LPC-IT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1530 S 170th St, New Berlin, WI 53151 Phone: 414-779-7971 | |
Chasity T Brimeyer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, Headache Clinic, New Berlin, WI 53151 Phone: 414-266-3133 Fax: 414-266-1761 | |
Dr. Jill C. Rudman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2665 S Moorland Rd, Suite 100, New Berlin, WI 53151 Phone: 414-475-1896 Fax: 414-988-9764 |