Individual
DR. BRANDI TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2801 BUFORD HWY NE, SUITE 503, BROOKHAVEN, GA 30329-2149
(404) 491-1684
Mailing address
2801 BUFORD HWY NE STE 503, BROOKHAVEN, GA 30329-2137
(404) 491-1684
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003770
GA
Other
Enumeration date
08/22/2014
Last updated
04/25/2016
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