NPI Profile for LAURA M TALBOT in MINNETONKA, MN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Developmental Therapist |
222Q00000X |
| NPI # | 1821222340 |
|
| Status | Active | |
| Credentials | LPCC | |
| Entity | Individual | |
| Enumeration date | 05/12/2009 | |
| Last updated | 10/17/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LAURA M TALBOT
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