Organization
TALBOT CHILD PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN LOGIE (AUTHORIZED SIGNATURE)
(667) 662-2219
Entity
Organization
Contact information
Practice address
6547 PEACH BLOSSOM HEIGHTS DR, EASTON, MD 21601-4517
(667) 662-2219
Mailing address
8168 ELLIOTT RD STE 1, #1013, EASTON, MD 21601-7111
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/13/2021
Last updated
05/05/2026
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