NPI 1215348719

Jack L. Talley, PHD

Practitioner Psychologist Canton, GA

Practice location

Address: 140 E Marietta St, Canton, GA 30114-3013
Phone: (770) 213-3594
Fax: (770) 315-3595

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 1489 (GA)

Other Psychologist providers in Georgia →

Registry record

NPI: 1215348719
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2014
Record last updated: 19 May 2014

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.