Gotlieb, Talia

Gotlieb, Talia is an sole proprietor health care provider with primary practice located at 13-19 River Rd , Fair Lawn NJ 07410-1837. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Gotlieb, Talia can be contacted via phone (201) 703-6800.

Contact Information

Primary practice address
13-19 River Rd Fair Lawn NJ 07410-1837
Phone: (201) 703-6800
Fax: (201) 703-6805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 41YA00002100 New Jersey
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 25MG00039200 New Jersey

Profile Details

NPI number 1528094745
LBN Legal business name Gotlieb, Talia
Credentials MA, CCC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2006
Last updated Jul 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528094745 NPPES
New Jersey MEDICAID 6126600

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