DR. Michael Garrett Tallman, PSY.D

NPI #1134231608 in Boise, Idaho

Provider Information

NPI Number: 1134231608
Entity Type: Individual
Name: DR. Michael Garrett Tallman, PSY.D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSY.D
Enumeration Date: Aug 31, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 500 W FORT ST
City: Boise
State: Idaho
ZIP Code: 83702-4501
Phone: (208) 422-1108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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