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Individual

DR. MINDY KATE TANNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
560 VAN REED RD STE 205, WYOMISSING, PA 19610-1799
(610) 404-8025
(610) 404-8045
Mailing address
175 CUSHION PEAK RD, WERNERSVILLE, PA 19565-9493
(610) 413-7820
(610) 404-8045

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT005180
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1351615
AETNA
PA
01
2773101000
INDEPENDENCE BLUE CROSS
PA
01
6084244
CIGNA
01
BR1902248
HIGHMARK BLUE SHIELD
PA
01
P00347618
RAILROAD MEDICARE
PA
Enumeration date
06/03/2006
Last updated
01/26/2026
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