Doctor Name: | BARBARA ELLEN TALBOT |
NPI Number: | 1134255268 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 6301005276 |
Business Practice Address: | 31000 Telegraph Rd Suite 150 Bingham Farms, MI - 480254360 |
Business Phone Number: | 2485402220 |
Business Fax Number: | 2487234766 |
Mailing Address: | 7386 Radcliff Dr, WEST BLOOMFIELD |
State: | MI |
Postal Code: | 483223535 |
Phone Number: | 2485402220 |
Fax Number: | 2487234766 |
NPI Enumeration Date: | 02/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 6301005276 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |