Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACK WARD TALLMAN, MFT/DAPA
Active Sole ProprietorMR. JACK WARD TALLMAN, MFT/DAPA is a Marriage & Family Therapist healthcare provider located in TUSTIN, California. NPI 1366477325 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · TUSTIN, CA
Registration Details
- NPI Number
- 1366477325
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (19.912339407061 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MFC24161 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
17772 IRVINE BLVDSUITE #101TUSTIN, CA, 927803256Browse CA providers · Browse ZIP 92780
- Phone
- 7148361101
- Fax
- 7147306670
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in TUSTIN, CA
| Name | Credential | NPI |
|---|---|---|
| MR. CHAD JOSEPH ANGOTTA | M.A., M.F.T. | 1134101611 |
| MR. PAUL RONALD MUNDT | LMFT | 1710956800 |
| PENNY JOSS FLETCHER | M.A. | 1194783373 |
| DR. DOUGLAS RICHARD KEENE | — | 1255374146 |
| SUZETTE MARIE SPENCE | MFT | 1528087079 |
| JUDI LYNN BAGLEY | LMFT | 1376563866 |
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.