DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KRISTINE NICOLE TIERNAN PHD

MEDICARE: KRISTINE NICOLE TIERNAN PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPSY28273CA

General Provider Information

NPI Number : 1225106586
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE NICOLE TIERNAN PHD
Provider Business Mailing Address
First Line : 2120 ALPINE BLVD
Second Line :
City : ALPINE
State : CA
Zip : 91901-2113
Country : US
Telephone Number : 619-820-9231
Fax Number :
Provider Business Practice Location Address
First Line : 2120 ALPINE BLVD
Second Line :
City : ALPINE
State : CA
Zip : 91901-2113
Country : US
Telephone Number : 619-820-9231
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2006
Last Update Date : 11/22/2016

Similar Medicare Providers

1700737251 — ALISHA FAYE AKERS
Practice Location Address:
2120 ALPINE BLVD
ALPINE, CA
91901-2113
Practice Phone: 619-445-2644
Practice Fax:
1063862159 — CLAUDIA LUCETTE LOSCO SUDCC IV
Practice Location Address:
2120 ALPINE BLVD
ALPINE, CA
91901-2113
Practice Phone: 619-445-2644
Practice Fax:
1063589620 — ALPINE SPECIAL TREATMENT CENTER
Practice Location Address:
2120 ALPINE BLVD
ALPINE, CA
91901-2113
Practice Phone: 619-445-2644
Practice Fax: 619-659-3122
1992830830 — KEVIN STAFFORD
Practice Location Address:
2120 ALPINE BLVD
ALPINE, CA
91901-2113
Practice Phone: 619-445-2264
Practice Fax:
1518151976 — ALPINE SPECIAL TREATMENT CENTER
Practice Location Address:
2120 ALPINE BLVD
ALPINE, CA
91901-2113
Practice Phone: 619-445-7570
Practice Fax: 619-659-3122
1255516464 — TIZIANA TARQUINIO
Practice Location Address:
2120 ALPINE BLVD
ALPINE, CA
91901-2113
Practice Phone: 619-576-9000
Practice Fax:

Directions to “ KRISTINE NICOLE TIERNAN PHD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.