Provider Demographics
NPI:1679847925
Name:TALIANCICH-KLINGER, CASEY LYNN (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CASEY
Middle Name:LYNN
Last Name:TALIANCICH-KLINGER
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Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:1 UNIVERSITY STA STOP A1100
Mailing Address - Street 2:CMA 2.200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78712-0114
Mailing Address - Country:US
Mailing Address - Phone:512-471-3841
Mailing Address - Fax:512-232-1804
Practice Address - Street 1:2504 WHITIS AVE UNIT A
Practice Address - Street 2:CMA 2.200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712-1503
Practice Address - Country:US
Practice Address - Phone:512-471-3841
Practice Address - Fax:512-232-1804
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105041235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist