Doctor Name: | NANCY L. TANNER |
NPI Number: | 1043304793 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 989078 |
Business Practice Address: | 918 N 7th St Suite 3 Grand Junction, CO - 815013195 |
Business Phone Number: | 9702423897 |
Business Fax Number: | 9702567882 |
Mailing Address: | 918 N 7th St, Suite 3 GRAND JUNCTION |
State: | CO |
Postal Code: | 815013195 |
Phone Number: | 9702423897 |
Fax Number: | 9702567882 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 989078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |