Individual
DR. DENNIS TANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4881 SUGAR MAPLE DR, 88 MDOS-SGOHC, WPAFB, OH 45433-5546
(937) 257-1296
(937) 656-1192
Mailing address
4881 SUGAR MAPLE DR, 88 MDOS-SGOHC, WPAFB, OH 45433-5546
(937) 257-1296
(937) 656-1192
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1425
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1425
PSYCHOLIOGIST LICENSE #
AL
Enumeration date
11/15/2006
Last updated
07/08/2007
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