Provider Demographics
NPI:1598825937
Name:TALBOT, MARY ELLEN (MA)
Entity Type:Individual
Prefix:MRS
First Name:MARY ELLEN
Middle Name:
Last Name:TALBOT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 INDIAN HEAD ST
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:MA
Mailing Address - Zip Code:02341
Mailing Address - Country:US
Mailing Address - Phone:781-754-0132
Mailing Address - Fax:781-754-0135
Practice Address - Street 1:288 BEDFORD STREET
Practice Address - Street 2:WHITMAN COUNSELING CENTER
Practice Address - City:WHITMAN
Practice Address - State:MA
Practice Address - Zip Code:02382
Practice Address - Country:US
Practice Address - Phone:781-447-6425
Practice Address - Fax:781-447-1786
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional