Individual
COLLEEN TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
219 POND TER, TOWNSHIP OF WASHINGTON, NJ 07676-5121
(201) 300-7360
Mailing address
219 POND TER, TOWNSHIP OF WASHINGTON, NJ 07676-5121
(201) 300-7360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14293266
NJ
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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