Provider Demographics
NPI:1275204174
Name:TOUCAN TALK, LLC
Entity type:Organization
Organization Name:TOUCAN TALK, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:NADDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIASTI
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP, IBCLC
Authorized Official - Phone:410-428-7613
Mailing Address - Street 1:4441 PURVES ST APT 409
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-2977
Mailing Address - Country:US
Mailing Address - Phone:410-428-7613
Mailing Address - Fax:
Practice Address - Street 1:501 CHURCH ST NE STE 211
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4734
Practice Address - Country:US
Practice Address - Phone:410-428-7613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty