Individual
KAREN TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 603-1884
Mailing address
15016 HUNTER CT, WESTFIELD, IN 46074-9058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006851A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14283264
ASHA SPEECH PATHOLOGY CERTIFICATION
—
01
—
22006851A
INDIANA SPEECH PATHOLOGY LICENSE
—
Enumeration date
06/27/2018
Last updated
06/27/2018
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