Whalio Doctors

NPI 1003075623

John Stanley Talley, LCSW

Practitioner Clinical Social Worker Bogalusa, LA

Practice location

Address
420 Avenue F, Bogalusa, LA 70427-3600
Phone
(985) 732-0058
Fax
(985) 732-0019
Mailing address
5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038

Registered specialties (2)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 4008 (LA)
Social Worker
Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 4008 (LA)

Registry record

NPI
1003075623
Entity type
Individual
Sex (as registered)
Male
NPI issued
9 Jun 2008
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.