IndividualActive
Anna Tierney
NPI 1699050179 · Clinical Psychologist · St Louis Park, MN
Provider details
- NPI number
- 1699050179
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2011004602 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
5354 Parkdale Dr
#2
St Louis Park, MN 55416-1603
Phone: (651) 645-5323
Fax: (952) 746-5962
Approximate (ZIP-level) locationGet directions
Mailing address
5354 Parkdale Dr
St Louis Park, MN 55416-1603
Registry dates
- Enumerated
- 2011-10-17
- Last updated
- 2012-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.