Individual
DR. LAURA GWEN TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5200 BOB BILLINGS PKWY, SUITE 203, LAWRENCE, KS 66049-5810
(785) 842-3681
(785) 856-7595
Mailing address
5200 BOB BILLINGS PKWY, SUITE 203, LAWRENCE, KS 66049-5810
(785) 842-3681
(785) 856-7595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP-0913
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241830 A
—
KS
Enumeration date
06/05/2006
Last updated
10/14/2009
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