Gregory Tierney is a Clinical in Sycamore, Illinois. Gregory Tierney practices all healthcare services and medical treatments related to Clinical. The NPI Number for Gregory Tierney is 1609949809. The last update date is 2018-05-23.
Gregory Tierney's current location address is 920 S Prairie Dr, Sycamore, Illinois. You can contact this provider via phone number 8158990339 and fax number 8158992098. The mailing address for Gregory Tierney is 920 S Prairie Dr, Sycamore, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Tierney |
|---|---|
| Address | 920 S Prairie Dr, Sycamore, Illinois |
| Phone Number | 8158990339 |
| Fax Number | 8158992098 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1609949809 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2018-05-23 |
Provider Mailing Address Detail
| Address | 920 S Prairie Dr |
|---|---|
| City | Sycamore |
| State | Illinois (IL) |
| Post Code | 60178 |
| Phone Number | 8158990339 |
| Fax Number | 8158992098 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71.006674 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Gregory Tierney by the Centers for Medicare & Medicaid Services (CMS)?
The Gregory Tierney has been assigned the NPI (National Provider Identifier) 1609949809. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Gregory Tierney located?
The Gregory Tierney is located at 920 S Prairie Dr, Sycamore, IL 60178.
What is the Gregory Tierney's area of specialization and corresponding taxonomy classification?
The Gregory Tierney's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Gregory Tierney receive the assignment of its 1609949809 from the Centers for Medicare & Medicaid Services?
The Gregory Tierney was issued its 1609949809 by the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date were the details pertaining to Gregory Tierney last refreshed?
The information related to the Gregory Tierney, including its address, specialty, and other relevant details, was last updated on 2018-05-23.
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