JOHN TANNER

AUSTIN, TX
NPI1871283564
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: TX  18014)
Enumeration Date2023-05-08
Last Update Date2023-05-08
Business Address
JOHN TANNER PhD
4515 MENCHACA RD STE 204
AUSTIN, TX 78745-1645
Phone number: 203-570-3081
Mailing Address
JOHN TANNER PhD
4515 MENCHACA RD STE 204
AUSTIN, TX 78745-1645
Phone number: 203-570-3081
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