Individual
DR. SUSAN TALMAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1412 MAIN ST, STE 320, DALLAS, TX 75202-4014
(214) 760-1964
(214) 760-9505
Mailing address
5052 HORSESHOE TRL, DALLAS, TX 75209-3324
(214) 760-1964
(214) 760-9505
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-4635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096639201
—
TX
Enumeration date
03/15/2007
Last updated
06/07/2016
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