Organization
SUZAN TANNER PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZAN TANNER PHD (PRESIDENT)
(305) 461-8333
Entity
Organization
Contact information
Practice address
2103 CORAL WAY, SUITE 815, CORAL GABLES, FL 33145-2601
(305) 461-8333
(305) 461-8333
Mailing address
2103 CORAL WAY, SUITE 815, CORAL GABLES, FL 33145-2601
(305) 461-8333
(305) 461-8333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY 4982
FL
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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