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Dr. Dustin Brooks Tanner, PSYD
Clinical Psychologist in Mitchell, South Dakota
NPI 1497995088

Dustin Brooks Tanner is a Clinical Psychologist based in Twin Falls, SD and is specialized in Clinical. Dustin Brooks Tanner practices in Mitchell, SD and has the professional credentials of PSYD. The NPI Number for Dustin Brooks Tanner is 1497995088 and holds a License No. (South Dakota).

The current practice location address for Dustin Brooks Tanner is 910 W Havens Ave, Mitchell, SD and can be reached out via phone at 605-996-9686 and via fax at 605-996-1624. You can also correspond with Dustin Brooks Tanner through the mailing address at 2070 NORTHERN SKY DR, TWIN FALLS, ID - 83301-3900 (mailing address contact number: ).

Location: 910 W Havens Ave, Mitchell, SD, 83301-3900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497995088
Provider Name
Dustin Brooks Tanner
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
910 W Havens Ave, Mitchell, SD, 83301-3900
Phone Number
605-996-9686
Fax Number
605-996-1624
Provider Enumeration Date
02/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5200110 05 SD
institution
Provider Business Practice Location Address Details
Address
910 W Havens Ave
City
Mitchell
State
South Dakota
Zip
57301-3831
Phone Number
605-996-9686
Fax Number
605-996-1624
person
Provider Business Mailing Address Details
Address
910 W Havens Ave
City
Mitchell
State
South Dakota
Zip
57301-3831
Phone Number
605-996-9686
Fax Number
605-996-1624
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSY-202804 (Idaho)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(South Dakota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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