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Contact Information

BRANDI TANNER, PH.D., LLC
2801 BUFORD HWY NE STE 503
BROOKHAVEN, GA30329-2137
 Phone: 404-491-1684
 Fax: 844-646-0336
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Professional

101YP2500X
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRANDI TANNER PHD LLC · (Female)

NPI # 1871000117
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2018
Last updated 01/09/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 003151503C
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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