Talley, Dominique
Talley, Dominique is an individual health care provider with primary practice located at 5342 Dudley Blvd , Mcclellan CA 95652-1012. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Talley, Dominique can be contacted via phone (916) 584-4609.Contact Information
Primary practice address
5342 Dudley Blvd
Mcclellan CA 95652-1012
Phone: (916) 584-4609
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1437622420 |
|---|---|
| LBN Legal business name | Talley, Dominique |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2019 |
| Last updated | Jan 2nd, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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