Tanner, Jody M.

Tanner, Jody M. is an individual health care provider with primary practice located at 3285 E Sparrow Ave , Flagstaff AZ 86004-7794. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Tanner, Jody M. can be contacted via phone (928) 527-6000.

Contact Information

Primary practice address
3285 E Sparrow Ave Flagstaff AZ 86004-7794
Phone: (928) 527-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X #SLP0793 Arizona

Profile Details

NPI number 1992854020
LBN Legal business name Tanner, Jody M.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992854020 NPPES
Arizona MEDICAID 114083

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