Individual
DR. CHAD E TILLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
55 LAKE AVE N, UMMS, DEPT. OF PSYCHIATRY (WSH-6B), WORCESTER, MA 01655-0002
(508) 856-6580
Mailing address
55 LAKE AVE N, UMMS, DEPT. OF PSYCHIATRY (WSH-6B), WORCESTER, MA 01655-0002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8097
MA
103TF0200X
Forensic Psychologist
8097
MA
Other
Enumeration date
09/20/2006
Last updated
09/11/2025
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