| Suzan Tanner Phd Pa | |
|
2103 Coral Way Suite 815 Coral Gables FL 33145-2601 | |
| (305) 461-8333 | |
| (305) 461-8333 |
| Full Name | Suzan Tanner Phd Pa |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2103 Coral Way, Coral Gables, Florida |
| Authorized Official Name and Position | Suzan Tanner (PRESIDENT) |
| Authorized Official Contact | 3054618333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzan Tanner Phd Pa 2103 Coral Way Suite 815 Coral Gables FL 33145-2601 Ph: (305) 461-8333 | Suzan Tanner Phd Pa 2103 Coral Way Suite 815 Coral Gables FL 33145-2601 Ph: (305) 461-8333 |
| NPI Number | 1518184829 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518184829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 4982 (Florida) | Primary |
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