Individual
DR. KRISTINE MARIE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
729 ARAPEEN DR, CAMT BUILDING, VOICE DISORDERS CENTER, SALT LAKE CITY, UT 84108-1218
(801) 587-3548
Mailing address
10287 CALLA LILY WAY, SANDY, UT 84092-4374
(801) 587-3548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
47913364102
UT
Other
Enumeration date
05/15/2007
Last updated
12/16/2021
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