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Individual

DR. SANDRA LEE TALLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, APRN

Contact information

Practice address
85 WILLOW ST, BLDG B, NEW HAVEN, CT 06511-2668
(203) 737-5609
(203) 737-5710
Mailing address
309 CENTRAL AVE, NEW HAVEN, CT 06515-2205
(203) 387-7541
(203) 737-5710

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
002290
CT
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
002290
CT

Other

Enumeration date
07/05/2005
Last updated
09/11/2025
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