Organization
SUSAN TALMAGE, PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN TALMAGE PHD (OWNER)
(214) 206-6822
Entity
Organization
Contact information
Practice address
20 VANGUARD WAY, DALLAS, TX 75243-6510
(214) 206-6822
(214) 247-0632
Mailing address
20 VANGUARD WAY, DALLAS, TX 75243-6510
(214) 206-6822
(214) 247-0632
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
24635
TX
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/09/2018
Last updated
08/12/2020
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