Individual
ELIZABETH TALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 ASH ST, LEAWOOD, KS 66211-1925
(231) 288-7371
Mailing address
2825 W 176TH ST, OVERLAND PARK, KS 66085-8542
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
03811
KS
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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