| Lipschutz Talamo Inc | |
|
1035 San Pablo Ave Ste 8 Albany CA 94706-2277 | |
| (510) 323-2488 | |
| (877) 325-5880 |
| Full Name | Lipschutz Talamo Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1035 San Pablo Ave Ste 8, Albany, California |
| Authorized Official Name and Position | Anna Talamo (MFT/OWNER) |
| Authorized Official Contact | 5103232488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lipschutz Talamo Inc 1035 San Pablo Ave Ste 8 Albany CA 94706-2277 Ph: (510) 323-2488 | Lipschutz Talamo Inc 1035 San Pablo Ave Ste 8 Albany CA 94706-2277 Ph: (510) 323-2488 |
| NPI Number | 1043625767 |
|---|---|
| Provider Enumeration Date | 06/23/2014 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Medicare PECOS PAC ID | 1759508583 |
|---|---|
| Medicare Enrollment ID | O20140819000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043625767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Jessa N Muscio Traylor |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952568404 PECOS PAC ID: 1557423720 Enrollment ID: I20081222000553 |
| Provider Name | Jonathan M Lipschutz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689098055 PECOS PAC ID: 8426277500 Enrollment ID: I20140923001051 |
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