Corrie Talbert, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

15795 Issued in CA

Practice address

670 E Bullard Ave Ste 105
Fresno, CA 93710-5455

Phone

(559) 205-0930

NPI assigned

May 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metamorphosis Therapy Group Inc

  • Behavior Analyst
  • Fresno, CA
  • NPI 1538646625

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1508504697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 E BULLARD AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105455",
            "telephone_number": "559-205-0930",
            "fax_number": "559-899-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 E BULLARD AVE STE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105455",
            "telephone_number": "559-205-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBERT",
        "first_name": "CORRIE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "15795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "corrie@metatherapgroup.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "670 E Bullard Ave Ste 105",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937105455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hailee Talamantez
• Roxanne Talamayan-Pascua, MD
• Edna Pagkalinawan Talamayan
• Adrianna Garcia Talavera
• Ismael Talavera
• Martin Robert Talerico, MSW
• Tales Burrow LLC
• Genor Marino Talingting
• Talk ABA, Inc
• Matthew Talkington

• Speech-Language Pathologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.