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Individual

TANNER JAMES SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
00014485
CO
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
Primary
0005587
CO
103TS0200X
School Psychologist
357926
CO
103TS0200X
School Psychologist

Other

Enumeration date
02/24/2019
Last updated
03/20/2025
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