Individual
MS. MARY K TIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5 N MEADOWS RD, SPEECH-LANGUAGE & HEARING ASSOCIATES, MEDFIELD, MA 02052-2317
(508) 359-4532
(508) 359-0198
Mailing address
5 N MEADOWS RD, SPEECH-LANGUAGE & HEARING ASSOCIATES, MEDFIELD, MA 02052-2317
(508) 359-4532
(508) 359-0198
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5207
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942270574
GROUP NPI
MA
01
—
M21875
MEDICARE PTAN
MA
Enumeration date
11/10/2012
Last updated
11/10/2012
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