Individual
JOHN TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP/L
Contact information
Practice address
850 S 5TH ST, ALLENTOWN, PA 18103-3308
(610) 776-3578
Mailing address
850 S 5TH ST, ALLENTOWN, PA 18103-3308
(610) 776-3578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011349
PA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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