Individual provider · Type 1 NPI

Maraysha Tierra Talley

Developmental Disabilities Clinic/Center · Magnolia, AR

NPI number 1053807586 Active

Practice location

301 W Calhoun
Magnolia, AR 71753-3508

Mailing address

301 Moorewood St Apt 1022
El Dorado, AR 71730-2991

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

31 other providers at this address

About NPI 1053807586

Maraysha Tierra Talley's National Provider Identifier is 1053807586, issued on Jul 9, 2018. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Magnolia, AR. The record was last updated on Jul 9, 2018.