Provider Demographics
NPI:1386797488
Name:TILDEN, SHEILEEN (PSYD)
Entity type:Individual
Prefix:DR
First Name:SHEILEEN
Middle Name:
Last Name:TILDEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9399 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5425
Mailing Address - Country:US
Mailing Address - Phone:310-434-0262
Mailing Address - Fax:
Practice Address - Street 1:9399 WILSHIRE BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5425
Practice Address - Country:US
Practice Address - Phone:310-434-0262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY17018103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical