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General NPI Number Information
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NPI Number | 1043166333
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Entity Type | Organization
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Legal Business Name | TALBOT PSYCHOLOGY ALLIANCE
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 6547 PEACH BLOSSOM HEIGHTS DR
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City | EASTON
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State | MD
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Zip | 21601-4517
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Country | US
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Telephone | 410-829-7809
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Fax |
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Provider Business Mailing Address
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Address Line | 8168 ELLIOTT RD STE 1
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City | EASTON
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State | MD
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Zip | 21601-7111
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SEAN LOGIE
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Credential | PH.D.
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Telephone | 410-829-7809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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