Individual
MRS. MAARI ANGELA TALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1843 R W BERENDS DR SW, WYOMING, MI 49519-4955
(616) 773-2908
(616) 532-3046
Mailing address
1843 R.W. BERENDS DR. SW, WYOMING, MI 49519
(616) 773-2908
(616) 532-3046
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6301015037
MI
103TC0700X
Clinical Psychologist
Primary
6301015037
MI
Other
Enumeration date
12/13/2010
Last updated
05/11/2016
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