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
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