TANNER MITCHELL NIELSEN

IDAHO FALLS, ID
NPI1346574464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: ID  PSY-203073)
Enumeration Date2009-09-22
Last Update Date2026-06-18
Business Address
Dr. TANNER MITCHELL NIELSEN PsyD
2105 CORONADO ST
IDAHO FALLS, ID 83404-7495
Phone number: 208-534-7881
Mailing Address
Dr. TANNER MITCHELL NIELSEN PsyD
2105 CORONADO ST
IDAHO FALLS, ID 83404-7495
Phone number: 208-534-7881