Individual provider · Type 1 NPI

Tanner Mitchell Nielsen, PSYD

Clinical Psychologist · Idaho Falls, ID

NPI number 1346574464 Active

Practice location

2105 Coronado St
Idaho Falls, ID 83404-7495

Fax (208) 203-7067

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPSY-203073 (ID)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1346574464

Tanner Mitchell Nielsen, PSYD's National Provider Identifier is 1346574464, issued on Sep 22, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Jun 18, 2026.