Individual
MR. JUDAH MICHAEL TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
6832 AVENUE 280, VISALIA, CA 93277-9429
(559) 622-3236
Mailing address
6832 AVENUE 280, VISALIA, CA 93277-9429
(559) 622-3236
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
CA
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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