Provider Demographics
NPI:1144046442
Name:TALBERT, MARIA LYNN
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:LYNN
Last Name:TALBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 TYLER AVE SE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44707-2973
Mailing Address - Country:US
Mailing Address - Phone:330-268-3458
Mailing Address - Fax:
Practice Address - Street 1:340 TYLER AVE SE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44707-2973
Practice Address - Country:US
Practice Address - Phone:330-268-3458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care