Individual
MARY-KATHERINE TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSSP, NCSP
Contact information
Practice address
1051 CLOVER HILL RD, SAINT MARTINVILLE, LA 70582-7824
(337) 254-5378
Mailing address
1051 CLOVER HILL RD, SAINT MARTINVILLE, LA 70582-7824
(337) 254-5378
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
71817
TX
103TS0200X
School Psychologist
Primary
AN587693
LA
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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