Search › South Dakota › 103TC0700X
Dustin Tanner, PSYD
NPI 1497995088 · on the registry since 2009
Practice
- Address
- 910 W Havens Ave
Mitchell, SD 57301 - Phone
- (605) 996-9686
- Fax
- (605) 996-1624
- Organisation at this address
- Rosewood Court
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 390200000X
- Licence states on file
- SD, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-08-05
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 South Dakota