Provider Demographics
NPI:1982901286
Name:TALBOTT, VANESSA ANNE (CF-SLP, MT-BC)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:ANNE
Last Name:TALBOTT
Suffix:
Gender:F
Credentials:CF-SLP, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 CAMERON PARKE CT
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-6421
Mailing Address - Country:US
Mailing Address - Phone:706-358-2468
Mailing Address - Fax:
Practice Address - Street 1:108 CAMERON PARKE CT
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-6421
Practice Address - Country:US
Practice Address - Phone:706-358-2468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist