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NPI Code Detail

MEDICARE: TIERNEY MCNULTY MA, LMFT

MEDICARE:   TIERNEY  MCNULTY  MA, LMFT
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
1106H00000XMarriage & Family Therapist62521MT

General Provider Information

NPI Number : 1235741216
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIERNEY MCNULTY MA, LMFT
Provider Business Mailing Address
First Line : 350 N MERIDIAN RD UNIT 8912
Second Line :
City : KALISPELL
State : MT
Zip : 59904-4877
Country : US
Telephone Number : 406-201-7118
Fax Number :
Provider Business Practice Location Address
First Line : 350 N MERIDIAN RD UNIT 8912
Second Line :
City : KALISPELL
State : MT
Zip : 59904-4877
Country : US
Telephone Number : 406-201-7118
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2020
Last Update Date : 04/28/2026

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Directions to “ TIERNEY MCNULTY MA, LMFT” Practice Location

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