Individual
SUSAN VICTORIA TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
400 MASSASOIT AVE STE 113, EAST PROVIDENCE, RI 02914-2040
(401) 490-7610
Mailing address
204 UNIVERSITY AVE, PROVIDENCE, RI 02906-5435
(401) 523-0265
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00563
RI
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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