Healthcare Provider Details

I. General information

NPI: 1649109430
Provider Name (Legal Business Name): IVANA TALIANCICH M.A., CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8894 AIRLINE HWY STE A
BATON ROUGE LA
70815-4081
US

IV. Provider business mailing address

449 DELGADO DR
BATON ROUGE LA
70808-4725
US

V. Phone/Fax

Practice location:
  • Phone: 225-372-4030
  • Fax:
Mailing address:
  • Phone: 504-912-3083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: