Matthew Alan Tanner
Matthew Alan Tanner is a Counselor in Provo, Utah. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
619 N 500 WProvo, UT 84601-1547
Phone: (801) 375-4240
Fax: (801) 375-4241
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1154668432 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 7, 2013 |
| Last updated in NPPES | January 7, 2013 |
| Mailing address | 619 N 500 W, Provo, UT 84601-1547 |
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