DUSTIN BROOKS TANNER

MITCHELL, SD
NPI1497995088
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: ID  PSY-202804)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2009-02-23
Last Update Date2015-08-05
Business Address
Dr. DUSTIN BROOKS TANNER PsyD
910 W HAVENS AVE
MITCHELL, SD 57301-3831
Phone number: 605-996-9686
Mailing Address
Dr. DUSTIN BROOKS TANNER PsyD
2070 NORTHERN SKY DR
TWIN FALLS, ID 83301-3900
Phone number: