DR. EUNJA PARK TALBOT


Address: 23 Hardwood Dr, Jackson, NJ 08527-5349
Phone: 9179688209

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 23 HARDWOOD DR
City JACKSON
State NJ
Zip Code 08527-5349

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City JACKSON
Zip Code 08527

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Dataset Information

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.

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