Mary Jane Talarico, MA-CCC.SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01095622 Issued in MI

Practice address

1706 N Crystal CV
Haslett, MI 48840-8232

Phone

(517) 339-8541

NPI assigned

Aug 10, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1376890244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 N CRYSTAL CV",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408232",
            "telephone_number": "517-339-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 N CRYSTAL CV",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408232",
            "telephone_number": "517-339-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALARICO",
        "first_name": "MARY",
        "middle_name": "JANE",
        "credential": "MA-CCC.SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "01095622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Haslett, MI
• Providers in Haslett, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.