Tanner, Shawna M

Tanner, Shawna M is an sole proprietor health care provider with primary practice located at 6500 Byron Center Ave Sw , Byron Center MI 49315-9080. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tanner, Shawna M can be contacted via phone (616) 455-5270.

Contact Information

Primary practice address
6500 Byron Center Ave Sw Byron Center MI 49315-9080
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY50000290 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301019355 Michigan

Profile Details

NPI number 1457980476
LBN Legal business name Tanner, Shawna M
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2020
Last updated Dec 20th, 2023 - about last year

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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