Provider Demographics
NPI:1528681491
Name:TALACH SPEECH THERAPY, INC. A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:TALACH SPEECH THERAPY, INC. A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:SEWARD
Authorized Official - Last Name:TALACH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:209-404-8824
Mailing Address - Street 1:1990 N CALIFORNIA BLVD STE 20
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3791
Mailing Address - Country:US
Mailing Address - Phone:925-232-1868
Mailing Address - Fax:
Practice Address - Street 1:1990 N CALIFORNIA BLVD STE 20
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3791
Practice Address - Country:US
Practice Address - Phone:925-232-1868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty