Organization
BAY AREA PSYCHOLOGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L TALLMAN PSY.D (PRESIDENT)
(850) 729-0303
Entity
Organization
Contact information
Practice address
1417 PARTIN DR N, STE 1, NICEVILLE, FL 32578-1426
(850) 729-0303
(850) 729-0305
Mailing address
1417 PARTIN DR N, STE 1, NICEVILLE, FL 32578-1426
(850) 729-0303
(850) 729-0305
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY4031
FL
103T00000X
Psychologist
Primary
PY4285
FL
103T00000X
Psychologist
PY5264
FL
103T00000X
Psychologist
PY7250
FL
Other
Enumeration date
06/15/2005
Last updated
04/20/2008
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