Doctor Name: | DR. MANDY MAURER TALMA |
NPI Number: | 1023348851 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | PSY003337 |
Business Practice Address: | 2300 Lakeview Pkwy Suite 700 Alpharetta, GA - 300099082 |
Business Phone Number: | 6783613603 |
Business Fax Number: | |
Mailing Address: | 2300 Lakeview Pkwy, Suite 700 ALPHARETTA |
State: | GA |
Postal Code: | 300099082 |
Phone Number: | 6783613603 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2009 |
NPI Last Update Date: | 08/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY003337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |