Individual
DR. MICHAEL GARRETT TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1108
(208) 422-1241
Mailing address
812 PENNSYLVANIA DR, BOISE, ID 83706-4467
(208) 422-1108
(208) 422-1241
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20010271A
IN
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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