Tanner, Mary Therese

Tanner, Mary Therese is an individual health care provider with primary practice located at 1251 Nilles Rd Ste 5 , Fairfield OH 45014-7205. 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 Therese can be contacted via phone (513) 939-0300.

Contact Information

Primary practice address
1251 Nilles Rd Ste 5 Fairfield OH 45014-7205
Fax: (513) 939-0310
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0008173 Iowa
Behavioral Health & Social Service Providers / Clinical 1041C0700X I1700193 Ohio

Profile Details

NPI number 1538590641
LBN Legal business name Tanner, Mary Therese
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2013
Last updated Sep 10th, 2019 - about 7 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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