| Doctor Name: | AMY TALLEY |
| NPI Number: | 1740314186 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSSLP.CCC |
| License Number: | SP#1198 |
| Business Practice Address: | 3450 W 34th Ave Pine Bluff, AR - 716035508 |
| Business Phone Number: | 8705347392 |
| Business Fax Number: | 8705347297 |
| Mailing Address: | 104 Farrah Dr, WHITE HALL |
| State: | AR |
| Postal Code: | 71602 |
| Phone Number: | 8705347392 |
| Fax Number: | 8705347297 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP#1198 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |