PHILLIP LEWIS TANNER

COTTONWOOD, AZ
NPI1366531485
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: AZ  3257399)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
Dr. PHILLIP LEWIS TANNER Ph.D.
1 N WILLARD ST
COTTONWOOD, AZ 86326-3651
Phone number: 928-634-2288
Mailing Address
Dr. PHILLIP LEWIS TANNER Ph.D.
1 NORTH WILLARD ST.
COTTONWOOD, AZ 86326
Phone number: 928-634-2288