DR. Tanner Mitchell Nielsen, PSYD
NPI #1346574464 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1346574464
- Entity Type
- Individual
- Name
- DR. Tanner Mitchell Nielsen, PSYD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PSYD
- Enumeration Date
- Sep 22, 2009
- Last Updated
- Nov 29, 2022
Practice Location
- Address
- 2001 S WOODRUFF AVE STE 9
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6371
- Phone
- (208) 419-3002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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