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Organization

INTEGRAL LIFE PSYCHOLOGY AND EDUCATION

Active
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Organization

INTEGRAL LIFE PSYCHOLOGY AND EDUCATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN W TIERNEY PHD, LP (PRESIDENT)
(510) 541-8680
Entity
Organization

Contact information

Practice address
20688 4TH ST # 4, SARATOGA, CA 95070-5894
(510) 541-8680
(833) 806-7237
Mailing address
2243 CHERRYSTONE DR, SAN JOSE, CA 95128-1219
(510) 541-8680

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
03/15/2025
Last updated
03/15/2025
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