Suzan Tanner PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 4982 Issued in FL

Legal business name

SUZAN TANNER PHD PA

Practice address

2103 Coral Way
Suite 815
Coral Gables, FL 33145-2601

Phone

(305) 461-8333

Fax

(305) 461-8333

NPI assigned

Apr 19, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Suzan Tanner, PHD

Title

President

Phone

(305) 461-8333

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518184829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 CORAL WAY",
            "address_2": "SUITE 815",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452601",
            "telephone_number": "305-461-8333",
            "fax_number": "305-461-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 CORAL WAY",
            "address_2": "SUITE 815",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331452601",
            "telephone_number": "305-461-8333",
            "fax_number": "305-461-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZAN TANNER PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-461-8333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 4982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.