Barry A Tanner is a Clinical in Detroit, Michigan. Barry A Tanner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Barry A Tanner is 1497879860. The last update date is 2007-07-08.
Barry A Tanner's current location address is 4201 Saint Antoine St, Detroit, Michigan. You can contact this provider via phone number 3137454811 and fax number 3139667196. The mailing address for Barry A Tanner is 4201 Saint Antoine St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry A Tanner |
|---|---|
| Address | 4201 Saint Antoine St, Detroit, Michigan |
| Phone Number | 3137454811 |
| Fax Number | 3139667196 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1497879860 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4201 Saint Antoine St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482012153 |
| Phone Number | 3137454811 |
| Fax Number | 3139667196 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301002031 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11290248 | CAQH PID |
Post Comment/ Review Below
What is the Barry A Tanner's unique identification number?
The Barry A Tanner has been assigned the NPI (National Provider Identifier) Number 1497879860 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Barry A Tanner's physical address?
The Barry A Tanner is physically located at 4201 Saint Antoine St, in the city of Detroit, MI, with the postal code 482012153.
What is the Barry A Tanner's area of specialization and corresponding taxonomy classification?
The Barry A Tanner's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1497879860 to Barry A Tanner?
The Centers for Medicare & Medicaid Services assigned the 1497879860 to Barry A Tanner on 2007-03-19.
When was the information regarding Barry A Tanner most recently updated?
The details pertaining to the Barry A Tanner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.