Individual
MEGAN TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 SWISS AVE, DALLAS, TX 75204
(214) 820-9351
Mailing address
3301 SWISS AVE, DALLAS, TX 75204
(214) 820-9351
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
36243
TX
103TH0004X
Health Psychologist
36243
TX
Other
Enumeration date
07/30/2010
Last updated
08/09/2016
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