Individual
DR. NICHOLAS ANDREW TANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3141 N 3RD AVE, PHOENIX, AZ 85013
(602) 914-1520
(602) 470-5064
Mailing address
3141 N 3RD AVE, PHOENIX, AZ 85013-4360
(928) 607-4846
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-004974
AZ
103TC0700X
Clinical Psychologist
Primary
PSY-004974
AZ
Other
Enumeration date
06/21/2018
Last updated
08/06/2025
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