NPI 1497995088

Dustin Brooks Tanner, PSYD

Practitioner Clinical Psychologist Mitchell, SD

Practice location

Address: 910 W Havens Ave, Mitchell, SD 57301-3831
Phone: (605) 996-9686
Fax: (605) 996-1624
Mailing address: 2070 Northern Sky Dr, Twin Falls, ID 83301-3900

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY-202804 (ID)

Other Psychologist providers in South Dakota →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1497995088
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Feb 2009
Record last updated: 5 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.