Lisa Welch Tallant, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002416 Issued in GA

Practice address

1532 Dunwoody Village Pkwy
Suite 210
Dunwoody, GA 30338-4136

Phone

(404) 578-6543

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1285718643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 WELLSHIRE LN",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383421",
            "telephone_number": "678-587-0641",
            "fax_number": "678-587-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 DUNWOODY VILLAGE PKWY",
            "address_2": "SUITE 210",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384136",
            "telephone_number": "404-578-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLANT",
        "first_name": "LISA",
        "middle_name": "WELCH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00968272A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Sykora, RD, LD
• Casey Takahashi, DPT
• Talbott Dunwoody
• Talbott Recovery Campus
• Sarah Sherrod Taliaferro, PT, DPT
• Jessica Tallman, PT, DPT
• Kyriakos Tarasidis, MD
• Tascha Jenkins
• Alicia L Taylor, PHARM.D.
• Elizabeth Teel

• Clinical Psychologist in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.