Individual
MICHAEL TALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1417 PARTIN DR N, STE. ONE, NICEVILLE, FL 32578-1430
(850) 729-0303
(850) 729-0305
Mailing address
1417 PARTIN DR N, STE. ONE, NICEVILLE, FL 32578-1430
(850) 729-0303
(850) 729-0305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY4031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17604047878
NPI
FL
Enumeration date
07/12/2006
Last updated
10/20/2011
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