Individual
DR. MARC TALLENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
51 5TH AVE, SUITE B, NEW YORK, NY 10003-4320
(212) 645-5795
Mailing address
1 UNIVERSITY PL, APT 9M, NEW YORK, NY 10003-4516
(212) 645-5795
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008311-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01090711
—
NY
Enumeration date
03/11/2007
Last updated
07/08/2007
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