Provider Demographics
NPI:1063421154
Name:TALBERT, STEVEN EUGENE
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:EUGENE
Last Name:TALBERT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 S HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46176-2745
Mailing Address - Country:US
Mailing Address - Phone:317-398-9217
Mailing Address - Fax:
Practice Address - Street 1:18 E MECHANIC ST
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:IN
Practice Address - Zip Code:46176-1318
Practice Address - Country:US
Practice Address - Phone:317-392-9421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor