Provider Demographics
NPI:1124375951
Name:TALBOT, LINDA (LMSW)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:TALBOT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16333 HAFER RD
Mailing Address - Street 2:TEXAS HOUSTON AGENCY
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-4412
Mailing Address - Country:US
Mailing Address - Phone:281-537-0211
Mailing Address - Fax:
Practice Address - Street 1:16333 HAFER RD
Practice Address - Street 2:TEXAS HOUSTON AGENCY
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-4412
Practice Address - Country:US
Practice Address - Phone:281-537-0211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX55437104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker