Provider Demographics
NPI:1376712117
Name:TALBOTT, RICHARD LLOYD (MS)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:LLOYD
Last Name:TALBOTT
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 EXECUTIVE CT N STE G
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94534-1464
Mailing Address - Country:US
Mailing Address - Phone:707-646-2988
Mailing Address - Fax:707-646-2960
Practice Address - Street 1:420 EXECUTIVE CT N STE G
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94534-1464
Practice Address - Country:US
Practice Address - Phone:707-646-2988
Practice Address - Fax:707-646-2960
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor