Individual
JAMIE TALLENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10007 CARLESBROOKE TER, CHARLOTTE, NC 28270-2559
(980) 272-1611
Mailing address
10007 CARLESBROOKE TER, CHARLOTTE, NC 28270-2559
(980) 272-1611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10746
NC
Other
Enumeration date
10/02/2016
Last updated
10/02/2016
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