Provider Demographics
NPI:1295212157
Name:STEINBERG, TALIA DEVORAH (CCC-SLP)
Entity type:Individual
Prefix:
First Name:TALIA
Middle Name:DEVORAH
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 SAINT JOHNS PL APT 314
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-5502
Mailing Address - Country:US
Mailing Address - Phone:161-280-5631
Mailing Address - Fax:
Practice Address - Street 1:564 SAINT JOHNS PL APT 314
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-5502
Practice Address - Country:US
Practice Address - Phone:161-280-5631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27827235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist