DR. EUNJA PARK TALBOT (NPI# 1083931323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083931323 |
Entity Type | Individual |
Full Name | DR. EUNJA PARK TALBOT |
Credential | PSY.D, |
Practice Address |
23 Hardwood Dr Jackson NJ 08527-5349 |
Practice Telephone | 9179688209 |
Mailing Telephone | 9179688209 |
Enumeration Date | 2010-04-27 |
Last Update Date | 2020-10-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | 68019961 | NY | Behavioral Health & Social Service Providers |
Y | 103G00000X | Clinical Neuropsychologist | 5187 | NJ | Behavioral Health & Social Service Providers |
N | 103T00000X | Psychologist | 5187 | NJ | Behavioral Health & Social Service Providers |
N | 103T00000X | Psychologist | 68019961 | NY | Behavioral Health & Social Service Providers |
Street Address |
23 HARDWOOD DR |
City | JACKSON |
State | NJ |
Zip Code | 08527-5349 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750923959 | Patricia Ann Benjamino | Technician | 8 Poplar Street, Jackson, NJ 08527 | 2019-10-09 |
1811456890 | Step By Step Behavioral Therapy, LLC | Behavioral Analyst | 18 Walter Drive, Jackson, NJ 08527 | 2019-03-18 |
1326520255 | Sarah Chalnick | Physical Therapist | 2290 W County Line Road Suite 215, Jackson, NJ 08527 | 2018-09-06 |
1679071401 | Louro Chiropractic Center LLC | Chiropractor | 180 North County Line Road, Jackson, NJ 08527 | 2018-01-26 |
1487183737 | Arkady Khaykin | Dentist | 24 N Cooks Bridge Rd, Jackson, NJ 08527 | 2017-06-09 |
1912362815 | Executive Home Healthcare | Home Health | 17 N Hope Chapel Rd, Jackson, NJ 08527 | 2015-12-18 |
1629455274 | Rachel Solny | Speech-Language Pathologist | 70 Villanova Dr, Jackson, NJ 08527 | 2015-05-04 |
1235525486 | Encore Dental of Jackson | Dentist | 2275 West County Line Rd., Jackson, NJ 08527 | 2015-04-14 |
1093108243 | Joseph Davis | Dentist | 2064 W County Line Rd, Jackson, NJ 08527 | 2015-03-12 |
1477955037 | Jackson Village Pharmacy LLC | Pharmacy | 27 South Cooks Bridge Rd, Suite M1, Jackson, NJ 08527 | 2014-09-25 |
Find all providers in zip 08527 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073093894 | Virginia Catherine Persinger | Clinical Neuropsychologist | 1350 E Woodrow Ave, Jackson, MS 39216-5112 | 2018-08-21 |
1780963793 | Joy Humphreys Clark | Clinical Neuropsychologist | 1350 E. Woodrow Wilson, Jackson, MS 39216-5112 | 2011-08-08 |
1740325786 | John S Hand Phd PC & Associates | Clinical Neuropsychologist | 1200 N West Ave Ste 812, Jackson, MI 49202-2180 | 2007-02-20 |
1740361880 | Wendy Elaine Laakmann | Clinical Neuropsychologist | 460 South Cache Street, Jackson, WY 83001 | 2006-10-17 |
1023402047 | Nancy H. Goldman, LLC | Clinical Neuropsychologist | 3000 Old Canton Rd, Suite 465, Jackson, MS 39216-4200 | 2015-03-27 |
1891919213 | Ted Bennett | Clinical Neuropsychologist | 1500 E Woodrow Wilson Ave, Office A370, Jackson, MS 39216-5116 | 2007-04-13 |
1942359096 | Clea C Evans | Clinical Neuropsychologist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2007-01-09 |
1053327759 | Robert D Annett | Clinical Neuropsychologist | 2500 N State St, Jackson, MS 39216-4500 | 2006-08-01 |
1770599110 | University Neurology Group, Pllc | Clinical Neuropsychologist | 2500 North State Street, Jackson, MS 39216 | 2006-07-31 |
1689689010 | Edward Manning | Clinical Neuropsychologist | 2500 North State Street, Dept of Neurology, Jackson, MS 39216 | 2006-07-31 |
Find all providers in JACKSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.