Tierney, Brian William
Tierney, Brian William is an sole proprietor health care provider with primary practice located at 160 Vista Del Grande , San Carlos CA 94070-2929. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Tierney, Brian William can be contacted via phone (510) 541-8680.Contact Information
Primary practice address
160 Vista Del Grande
San Carlos CA 94070-2929
Phone: (510) 541-8680
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 46651 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY31502 | California |
Profile Details
| NPI number | 1093856098 |
|---|---|
| LBN Legal business name | Tierney, Brian William |
| Credentials | PHD, LP, RCST, CMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2007 |
| Last updated | Dec 12th, 2019 - about 7 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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