Provider Demographics
NPI:1548563638
Name:DAHLING, TALEEN SOFEE
Entity Type:Individual
Prefix:
First Name:TALEEN
Middle Name:SOFEE
Last Name:DAHLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 FAIRBURY ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4390
Mailing Address - Country:US
Mailing Address - Phone:818-326-0735
Mailing Address - Fax:702-260-0594
Practice Address - Street 1:1110 FAIRBURY ST
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4390
Practice Address - Country:US
Practice Address - Phone:818-326-0735
Practice Address - Fax:702-260-0594
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-10
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner