MEDICARE: DR. MAUREEN E. TIERNAN-MEECH PSYD

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
1	103TC0700X	Clinical Psychologist	PY5568	FL

General Provider Information

NPI Number	:	1982617189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAUREEN E. TIERNAN-MEECH PSYD

Provider Business Mailing Address
First Line	:	509 W. HANLEY AVE
Second Line	:	STE 101
City	:	COEUR D'ALENE
State	:	ID
Zip	:	83815-8994
Country	:	US
Telephone Number	:	208-666-0357
Fax Number	:	208-666-0468

Provider Business Practice Location Address
First Line	:	509 W. HANLEY AVE
Second Line	:	STE 101
City	:	COEUR D'ALENE
State	:	ID
Zip	:	83815-8994
Country	:	US
Telephone Number	:	208-666-0357
Fax Number	:	208-666-0468

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	12/09/2025

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