Search › Ohio › 104100000X
Wyatt Tanner, LSW, LCDC III
NPI 1265973150 · on the registry since 2017
Practice
- Address
- 6434 E Main St
Reynoldsburg, OH 43068 - Phone
- (614) 528-4471
- Organisation at this address
- Madison 57 Investments Llc
Vision Support Network, Llc
Vision Support Network, Llc
Healingdrive Homehealth, Llc
Healingdrive Homehealth, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 101YA0400X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio