Provider / Organization | NPI | Date Certified |
---|---|---|
JANICE. ANN TANNER | 1952387193 | 2023-03-12 |
Janice. Ann Tanner is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952387193. Registration indicates Janice. Ann Tanner is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical Child & Adolescent, ) (Psychologist Clinical Child & Adolescent, Behavioral Health & Social Service Providers) (Psychologist, )
Entity Type | Individual |
Provider Name | Dr. Janice. Ann Tanner PH.D. |
Practice Office Address | 9040 JACKSON AVENUE TACOMA, WA US |
Practice Office Telephone | 2539686478 |
Mailing Address | 9040 JACKSON AVENUE TACOMA, WA 984310001 US |
Code | Practice | License No State |
---|---|---|
103TC2200X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Child & Adolescent Psychologist Clinical Child & Adolescent Behavioral Health & Social Service Providers Psychologist | 766
HI |
766 | OTHER | HI | PSYCHOLOGIST |