Individual
MS. CAROL W TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4770 BASELINE ROAD, SUITE 300, BOULDER, CO 80303
(303) 440-9513
(303) 447-1880
Mailing address
4770 BASELINE ROAD, SUITE 300, BOULDER, CO 80303
(303) 440-9513
(303) 447-1880
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1036
CO
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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