Doctor Name: | MISS DOREEN ANNE TIERNEY |
NPI Number: | 1356466197 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6195 |
Business Practice Address: | 660 Commonwealth Ave Warwick, RI - 028862707 |
Business Phone Number: | 4016914511 |
Business Fax Number: | |
Mailing Address: | 471 W Shore Rd, #2 WARWICK |
State: | RI |
Postal Code: | 028891362 |
Phone Number: | 4017393852 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6195 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
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 |