Provider Demographics
NPI:1023348851
Name:TALMA, MANDY MAURER (PSYD)
Entity type:Individual
Prefix:DR
First Name:MANDY
Middle Name:MAURER
Last Name:TALMA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 LAKEVIEW PKWY
Mailing Address - Street 2:SUITE 700
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-9082
Mailing Address - Country:US
Mailing Address - Phone:678-361-3603
Mailing Address - Fax:
Practice Address - Street 1:2300 LAKEVIEW PKWY
Practice Address - Street 2:SUITE 700
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-9082
Practice Address - Country:US
Practice Address - Phone:678-361-3603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-29
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003337103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical