| Doctor Name: | EDMOND P. TALBOT |
| NPI Number: | 1760501514 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.A.D.C.-1 |
| License Number: | 1421 |
| Business Practice Address: | 161 North St Mattapoisett, MA - 027391242 |
| Business Phone Number: | 5085421959 |
| Business Fax Number: | |
| Mailing Address: | 161 North St, MATTAPOISETT |
| State: | MA |
| Postal Code: | 027391242 |
| Phone Number: | 5085421959 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1421 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |