JACK L. TALLEY

CANTON, GA
NPI1215348719
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: GA  1489)
Enumeration Date2014-05-19
Last Update Date2014-05-19
Business Address
Dr. JACK L. TALLEY Ph.D.
140 E MARIETTA ST
CANTON, GA 30114-3013
Phone number: 770-213-3594
Mailing Address
Dr. JACK L. TALLEY Ph.D.
140 E MARIETTA ST
CANTON, GA 30114-3013
Phone number: 770-213-3594