Individual
JESSICA LAUREN TALLENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
216 POPLAR AVE, SUITE 101, SOMERSET, KY 42503-1764
(606) 677-1166
Mailing address
156 BLUFF RD, ALBANY, KY 42602-8974
(606) 306-7036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13-044
KY
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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