Provider Demographics
NPI:1902324254
Name:FELDMAN, TALIA RACHEL (MED)
Entity Type:Individual
Prefix:MS
First Name:TALIA
Middle Name:RACHEL
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 QUEBEC ST NW
Mailing Address - Street 2:S-651
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20008-1229
Mailing Address - Country:US
Mailing Address - Phone:404-824-2507
Mailing Address - Fax:
Practice Address - Street 1:3508 LEE HWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-3717
Practice Address - Country:US
Practice Address - Phone:703-243-4600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-07
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist