Tanner, Mary Ellen

Tanner, Mary Ellen is an individual health care provider with primary practice located at 4740 N Grand Ave , Covina CA 91724-2005. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tanner, Mary Ellen can be contacted via phone (626) 859-2089.

Contact Information

Primary practice address
4740 N Grand Ave Covina CA 91724-2005
Phone: (626) 859-2089
Fax: (626) 859-6537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW73551 California

Profile Details

NPI number 1063767796
LBN Legal business name Tanner, Mary Ellen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2012
Last updated Dec 6th, 2016 - about 10 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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