Jena Gordon Talbot, PHD | |
1501 Washington St, Braintree, MA 02184-7599 | |
(508) 747-7051 | |
Not Available |
Full Name | Jena Gordon Talbot |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 1501 Washington St, Braintree, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821511338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY10000133 (Massachusetts) | Secondary |
103TC0700X | Psychologist - Clinical | PS02249 (Rhode Island) | Primary |
Entity Name | Lifespan Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
Mailing Address | Practice Location Address |
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Jena Gordon Talbot, PHD 31 Curve St, West Newton, MA 02465-2206 Ph: (617) 893-2440 | Jena Gordon Talbot, PHD 1501 Washington St, Braintree, MA 02184-7599 Ph: (508) 747-7051 |
Krista Gray, LEP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 654 Washington St Ste 10b, Braintree, MA 02184 Phone: 617-755-0085 | |
Dr. Virginia A. Kelty, PH. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8 Washington Pl, Suite 104, Braintree, MA 02184 Phone: 781-848-1903 Fax: 781-545-5189 | |
Robert G Lasky, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 639 Granite St, Suite Ll15, Braintree, MA 02184 Phone: 781-248-8357 Fax: 781-659-2419 | |
Vicki E. Beggs, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Grossman Dr, Braintree, MA 02184 Phone: 781-849-2275 | |
Stephen L Centerrino, NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 353 Middle St, Braintree, MA 02184 Phone: 781-849-0526 | |
Pamela Alessandra Raskin, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 985 Washington St, Braintree, MA 02184 Phone: 781-848-5674 | |
Dr. Nancy J Connolly, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35 Braintree Hill Park, Suite 100, Braintree, MA 02184 Phone: 781-843-8887 Fax: 781-843-3179 |