Poling-Tierney, Amanda
Poling-Tierney, Amanda is an individual health care provider with primary practice located at 575 Main St Fl 2 , Middletown CT 06457-2845. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Poling-Tierney, Amanda can be contacted via phone (860) 347-6971.Contact Information
Primary practice address
575 Main St Fl 2
Middletown CT 06457-2845
Phone: (860) 347-6971
Fax: (860) 638-2099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3902 | Connecticut |
Profile Details
| NPI number | 1801412960 |
|---|---|
| LBN Legal business name | Poling-Tierney, Amanda |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2020 |
| Last updated | Jun 24th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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