Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TANNER MITCHELL NIELSEN, PSYD
ActiveDR. TANNER MITCHELL NIELSEN, PSYD is a Clinical Psychologist healthcare provider located in IDAHO FALLS, Idaho. NPI 1346574464 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1346574464
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2009 (16.849158904522 yrs)
- Last Updated
- Nov 29, 2022
- License
-
PSY-203073 (ID)
Practice Information
- Address
-
2001 S WOODRUFF AVE STE 9IDAHO FALLS, ID, 834046371Browse ID providers · Browse ZIP 83404
- Phone
- 2084193002
- Fax
- 2086565652
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY A CONNOR | PSY.D. | 1780625954 |
| DR. AARON A HARRIS | PHD | 1669480091 |
| DR. STERLING DON ANDELIN | PHD | 1457466260 |
| DR. CAROL V ANDERSON | PHD | 1396878401 |
| DR. KELLI M BISHOP | PSY.D. | 1164542585 |
| ROBERT D. LISOTA | PH.D. | 1316175862 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.