Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARAYSHA TIERRA TALLEY
Active Sole ProprietorMARAYSHA TIERRA TALLEY is a Developmental Disabilities Clinic healthcare provider located in MAGNOLIA, Arkansas. NPI 1053807586 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · MAGNOLIA, AR
Registration Details
- NPI Number
- 1053807586
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2018 (8.1089806812772 yrs)
- Last Updated
- Jul 9, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 W CALHOUNMAGNOLIA, AR, 717533508Browse AR providers · Browse ZIP 71753
- Phone
- 8702341597
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
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.