Individual
BENJAMIN ASHLEY TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7331
(319) 369-8251
Mailing address
1026 A AVE NE, SUITE 5000, CEDAR RAPIDS, IA 52402-5036
(319) 369-7331
(319) 369-8251
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001274
IA
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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