Individual
MR. AARON MATTHEW TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 671-1840
Mailing address
421 N SUNNYSIDE AVE, SIERRA MADRE, CA 91024-1018
(626) 355-3651
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10802
CA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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