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NPI Code Detail

MEDICARE: IVANA TALIANCICH M.A., CF-SLP

MEDICARE:   IVANA  TALIANCICH  M.A., CF-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1649109430
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVANA TALIANCICH M.A., CF-SLP
Provider Business Mailing Address
First Line : 449 DELGADO DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4725
Country : US
Telephone Number : 504-912-3083
Fax Number :
Provider Business Practice Location Address
First Line : 8894 AIRLINE HWY STE A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70815-4081
Country : US
Telephone Number : 225-372-4030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/21/2026

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Directions to “ IVANA TALIANCICH M.A., CF-SLP” Practice Location

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