Individual
JENA GORDON TALBOT
Active
Individual
JENA GORDON TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS02249
RI
103TC0700X
Clinical Psychologist
PSY10000133
MA
Other
Enumeration date
07/18/2017
Last updated
03/18/2024
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