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1871283564
JOHN TANNER
AUSTIN, TX
NPI
1871283564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: TX 18014)
Enumeration Date
2023-05-08
Last Update Date
2023-05-08
Business Address
JOHN TANNER PhD
4515 MENCHACA RD STE 204
AUSTIN, TX 78745-1645
Phone number: 203-570-3081
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Mailing Address
JOHN TANNER PhD
4515 MENCHACA RD STE 204
AUSTIN, TX 78745-1645
Phone number: 203-570-3081
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