Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK L. TALLEY, PH.D.
Active Sole ProprietorDR. JACK L. TALLEY, PH.D. is a Psychologist healthcare provider located in CANTON, Georgia. NPI 1215348719 is currently active in the NPPES registry. Verify at CMS.
Psychologist · CANTON, GA
Registration Details
- NPI Number
- 1215348719
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 19, 2014 (12.203874236239 yrs)
- Last Updated
- May 19, 2014
- License
-
1489 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
140 E MARIETTA STCANTON, GA, 301143013Browse GA providers · Browse ZIP 30114
- Phone
- 7702133594
- Fax
- 7703153595
- Primary Specialty
-
Psychologist
103T00000X
Other Psychologist Providers in CANTON, GA
| Name | Credential | NPI |
|---|---|---|
| DR. RONNIE LEE SIMMONS | PH.D. | 1790834380 |
| DR. CAROL S RONKA | PH.D. | 1831212174 |
| DR. PEYTON LEE GROFF | PH.D. | 1780817817 |
| DR. ALLISON CURVING DOERR | PH.D., BCBA-D | 1003254327 |
| KHOURI BARNES | PSY.D. | 1164386041 |
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.