Provider Demographics
NPI:1043625767
Name:LIPSCHUTZ TALAMO INC
Entity Type:Organization
Organization Name:LIPSCHUTZ TALAMO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIPSCHUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:510-841-0681
Mailing Address - Street 1:2317 CHANNING WAY
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94704-2201
Mailing Address - Country:US
Mailing Address - Phone:510-841-0681
Mailing Address - Fax:510-841-0695
Practice Address - Street 1:2317 CHANNING WAY
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94704-2201
Practice Address - Country:US
Practice Address - Phone:510-841-0681
Practice Address - Fax:510-841-0695
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty