Search › Arizona › 175F00000X
Ty Tallman, N.M.D
NPI 1770614307 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1910 S Stapley Dr Ste 120
Mesa, AZ 85204 - Phone
- (480) 219-2624
- Fax
- (888) 210-1237
- Organisation at this address
- Ahp Psych Np Pc
Elevated Homecare
Strive 4 More Llc
Thryve Therapy Llc
Sorena Health, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 66
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Also registered as
- 202D00000X
202D00000X
2083B0002X
208D00000X - Licence states on file
- AZ, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona