Individual
BRIAN KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
128 OAKLAND FARM WAY, TROY, VA 22947
(434) 293-9059
Mailing address
220 CARRSBROOK DR, CHARLOTTESVILLE, VA 22901-1004
(540) 332-8007
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002196
VA
Other
Enumeration date
06/28/2007
Last updated
02/25/2010
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