Provider Demographics
NPI:1326568858
Name:TALBERT, CORETTA (MS)
Entity Type:Individual
Prefix:
First Name:CORETTA
Middle Name:
Last Name:TALBERT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 CHERRYBROOK LN
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77502-4048
Mailing Address - Country:US
Mailing Address - Phone:769-234-0529
Mailing Address - Fax:
Practice Address - Street 1:1515 CHERRYBROOK LN
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-4048
Practice Address - Country:US
Practice Address - Phone:713-740-0744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist