Doctor Name: | MRS. KATIE MEGAN TIERNEY |
NPI Number: | 1003076860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS SLP-CFY |
License Number: | 13075 |
Business Practice Address: | 650 Se Oak St Hillsboro, OR - 971234120 |
Business Phone Number: | 5036488588 |
Business Fax Number: | |
Mailing Address: | 10241 Se 46th Ave, MILWAUKIE |
State: | OR |
Postal Code: | 972225208 |
Phone Number: | 5025414090 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2008 |
NPI Last Update Date: | 06/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13075 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |