Individual
MONA LYNNE TIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 844-8927
Mailing address
PO BOX 1289, ATTN: MANAGED CARE, TAMPA, FL 33601-1289
(813) 844-8927
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
003009
CT
103T00000X
Psychologist
003009
CT
103T00000X
Psychologist
Primary
PY9263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008030090
—
CT
Enumeration date
11/21/2006
Last updated
01/28/2016
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