Individual
DR. JAMES M TALLMADGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
048-0000475
VT
103TC0700X
Clinical Psychologist
Primary
048-0000475
VT
103TC2200X
Clinical Child & Adolescent Psychologist
048-0000475
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009602
—
VT
Enumeration date
07/27/2006
Last updated
06/14/2012
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