Individual
DR. JESSICA DAWN TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 MACCORKLE AVE SE FL 5, CHARLESTON, WV 25304-1227
(304) 388-1000
(304) 388-1041
Mailing address
3200 MACCORKLE AVE SE FL 5, CHARLESTON, WV 25304-1227
(304) 388-1000
(304) 388-1041
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
26182
WV
2084P0804X
Child & Adolescent Psychiatry Physician
MD436332
PA
Other
Enumeration date
08/22/2007
Last updated
04/06/2022
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