Individual
DR. GREGORY TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
920 S PRAIRIE DR, SUITE F, SYCAMORE, IL 60178
(815) 899-0339
(815) 899-2098
Mailing address
3498 SANBORN LN, DEKALB, IL 60115-8304
(815) 758-3627
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.006674
IL
Other
Enumeration date
11/16/2006
Last updated
05/23/2018
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