Individual
DR. LISA WELCH TALLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1532 DUNWOODY VILLAGE PKWY, SUITE 210, DUNWOODY, GA 30338-4136
(404) 578-6543
Mailing address
1673 WELLSHIRE LN, DUNWOODY, GA 30338-3421
(678) 587-0641
(678) 587-0641
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY002416
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00968272A
—
GA
Enumeration date
10/24/2006
Last updated
07/23/2013
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