DR. Phillip Lewis Tanner, PH.D.

NPI #1366531485 in Cottonwood, Arizona

Provider Information

NPI Number: 1366531485
Entity Type: Individual
Name: DR. Phillip Lewis Tanner, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: PH.D.
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1 N WILLARD ST
City: Cottonwood
State: Arizona
ZIP Code: 86326-3651
Phone: (928) 634-2288

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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