Individual
DR. GEORGE PATRICK TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
10 WILSEY SQUARE, SUITE 232, RIDGEWOOD, NJ 07450-3729
(201) 652-5384
(201) 847-2959
Mailing address
10 WILSEY SQUARE, SUITE 232, RIDGEWOOD, NJ 07450-3729
(201) 652-5384
(201) 847-2959
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100151600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051015
VLAUE OPTIONS HMO
NY
01
—
169128
MANAGED HEALTH NETWORK
CA
01
—
169128
MANAGED HEALTH NETWORK
KY
01
—
6800065
GHI HMO
NY
Enumeration date
03/27/2007
Last updated
08/10/2012
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