Doctor Name: | MRS. MARY ELLEN TALBOT |
NPI Number: | 1598825937 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | |
Business Practice Address: | 288 Bedford Street Whitman Counseling Center Whitman, MA - 02382 |
Business Phone Number: | 7814476425 |
Business Fax Number: | 7814471786 |
Mailing Address: | 85 Indian Head St, HANSON |
State: | MA |
Postal Code: | 02341 |
Phone Number: | 7817540132 |
Fax Number: | 7817540135 |
NPI Enumeration Date: | 12/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |