Individual
JOHN G KIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCH.
Contact information
Practice address
322 W NORTH RIVER DR, SPOKANE, WA 99201-3208
(509) 241-2575
(509) 241-2312
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PY00001002
WA
Other
Enumeration date
01/22/2007
Last updated
07/26/2007
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