Individual
JEAN A. TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4000
Mailing address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
015667
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7439662
AETNA
NY
Enumeration date
11/24/2006
Last updated
07/08/2007
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