BARRY A TANNER PHD - NPI 1497879860 - Psychologist in Detroit, MI

Q: What is Barry Tanner's NPI number?

The NPI number for Barry Tanner is 1497879860. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Q: What is Barry Tanner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Barry Tanner was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Barry A Tanner Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BARRY A TANNER PHD (NPI 1497879860) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6301002031) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1497879860

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameBARRY A TANNERCredential: PHD

Location Address4201 SAINT ANTOINE ST, LIFE STRESS CENTER 3S-14Detroit, MI 48201-2153

Mailing Address4201 Saint Antoine St, Life Stress Center 3s-14Detroit, MI 48201-2153 · (313) 745-4811 · Fax (313) 966-7196

Phone(313) 745-4811

Fax(313) 966-7196

Sole ProprietorNo

Enumeration DateMarch 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1497879860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301002031

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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4201 SAINT ANTOINE ST, Detroit, MI 48201

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