Doctor Name: | JESSICA LAUREN TALLENT |
NPI Number: | 1851725691 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CF-SLP |
License Number: | 13-044 |
Business Practice Address: | 216 Poplar Ave Suite 101 Somerset, KY - 425031764 |
Business Phone Number: | 6066771166 |
Business Fax Number: | |
Mailing Address: | 156 Bluff Rd, ALBANY |
State: | KY |
Postal Code: | 426028974 |
Phone Number: | 6063067036 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2013 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 13-044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |