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 Date2022-11-29
Business Address
DR. TANNER MITCHELL NIELSEN PSYD
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404-6371
Phone number: 208-419-3002
Mailing Address
DR. TANNER MITCHELL NIELSEN PSYD
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404-6371
Phone number: 208-419-3002