Individual
JESSICA TALBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 STONEY RIDGE RD, AVON, OH 44011-1821
(440) 934-5124
Mailing address
6505 SENECA TRL, MENTOR, OH 44060-3489
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10078
OH
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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