SearchMaryland1041C0700X

Bruce Tisdale, DSW, LICSW, LCSW-C

NPI 1588816490 · on the registry since 2008 · sole proprietor

Practice

Address
5211 Auth Road St 203
Suitland, MD 20746
Phone
(202) 257-6632
Organisation at this address
Hope 4 You, Llc
Hope 4 You, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YM0800X
104100000X
1041C0700X
261QD1600X
Licence states on file
DC, MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland