Holly K Tanner, in Arimo, ID - Psychologist

Holly K Tanner, is a Psychologist - School based in Arimo, Idaho. Holly K Tanner is licensed to practice in Idaho (license number ) and her current practice location is 150 S Front St, Arimo, Idaho. She can be reached at her office (for appointments etc.) via phone at (208) 317-3899.

NPI number for Holly K Tanner is 1720669955 and her current mailing address is Po Box 29, Arimo, Idaho. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720669955.

Contact Information

	Holly K Tanner,
	150 S Front St, Arimo, ID 83214-7726
	(208) 317-3899
	Not Available

Healthcare Provider's Profile

Full Name	Holly K Tanner
Gender	Female
Speciality	Psychologist - School
Location	150 S Front St, Arimo, Idaho
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1720669955
Provider Enumeration Date: 04/19/2021
Last Update Date: 04/19/2021

Medical Identifiers

Medical identifiers for Holly K Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720669955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TS0200X	Psychologist - School	(Idaho)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly K Tanner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Holly K Tanner, Po Box 29, Arimo, ID 83214-0029 Ph: (208) 317-3899	Holly K Tanner, 150 S Front St, Arimo, ID 83214-7726 Ph: (208) 317-3899

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Holly K Tanner, - Psychologist in Arimo, ID