| Susan Talmage, Phd, Pa | |
|
20 Vanguard Way Dallas TX 75243-6510 | |
| (214) 206-6822 | |
| (214) 247-0632 |
| Full Name | Susan Talmage, Phd, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 20 Vanguard Way, Dallas, Texas |
| Authorized Official Name and Position | Susan Talmage (OWNER) |
| Authorized Official Contact | 2142066822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Talmage, Phd, Pa 20 Vanguard Way Dallas TX 75243-6510 Ph: (214) 206-6822 | Susan Talmage, Phd, Pa 20 Vanguard Way Dallas TX 75243-6510 Ph: (214) 206-6822 |
| NPI Number | 1639678113 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639678113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 24635 (Texas) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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