Individual
MATTHEW TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 TEN ROD RD STE 101, NORTH KINGSTOWN, RI 02852-4161
(401) 294-6900
Mailing address
1130 TEN ROD RD STE 101, NORTH KINGSTOWN, RI 02852-4161
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02323
RI
Other
Enumeration date
09/08/2022
Last updated
09/02/2025
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