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Individual

DR. JOSEPH LLOYD TIERNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD LP

Contact information

Practice address
607 GORDON ST, MIDLAND, MI 48640
(989) 631-7727
(989) 631-6041
Mailing address
607 GORDON ST, MIDLAND, MI 48640
(989) 631-7727
(989) 631-6041

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301010028
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
095732
VALUE OPTIONS
Enumeration date
02/12/2007
Last updated
07/08/2007
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