Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON PATRICE TIERNEY, DT
Active Sole ProprietorSHANNON PATRICE TIERNEY, DT is a Developmental Therapist healthcare provider located in SPRING GROVE, Illinois. NPI 1730453713 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · SPRING GROVE, IL
Registration Details
- NPI Number
- 1730453713
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 8, 2012 (14.292880881839 yrs)
- Last Updated
- Mar 8, 2012
- Sole Proprietor
- Yes
Practice Information
- Address
-
11104 SANDPIPER CTSPRING GROVE, IL, 600819629Browse IL providers · Browse ZIP 60081
- Phone
- 8479126623
- Primary Specialty
-
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.