Provider Demographics
NPI:1689493306
Name:KOTTAI, TALIYA (MA, CCC, SLP)
Entity type:Individual
Prefix:
First Name:TALIYA
Middle Name:
Last Name:KOTTAI
Suffix:
Gender:F
Credentials:MA, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5315 MORNINGVIEW CT
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-4143
Mailing Address - Country:US
Mailing Address - Phone:847-899-6930
Mailing Address - Fax:
Practice Address - Street 1:5315 MORNINGVIEW CT
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-4143
Practice Address - Country:US
Practice Address - Phone:847-899-6930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist