Provider Demographics
NPI:1437123387
Name:TALBERT, RENEE HURSEY (AUD)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:HURSEY
Last Name:TALBERT
Suffix:
Gender:F
Credentials:AUD
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Other - Credentials:
Mailing Address - Street 1:WAMC STOP A ATTN:AUDIOLOGY CLINIC
Mailing Address - Street 2:2817 REILLY ROAD MCXC DOS OT
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:910-907-6476
Mailing Address - Fax:910-907-8485
Practice Address - Street 1:WAMC STOP A ATTN:AUDIOLOGY CLINIC
Practice Address - Street 2:2817 REILLY ROAD MCXC DOS OT
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-6476
Practice Address - Fax:910-907-8485
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5068231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist