Provider Demographics
NPI:1306629514
Name:SPILIADIS, TALI CONSTANCE
Entity type:Individual
Prefix:
First Name:TALI
Middle Name:CONSTANCE
Last Name:SPILIADIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3275 HONEY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:DALLASTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17313-9621
Mailing Address - Country:US
Mailing Address - Phone:410-935-5854
Mailing Address - Fax:
Practice Address - Street 1:3275 HONEY VALLEY RD
Practice Address - Street 2:
Practice Address - City:DALLASTOWN
Practice Address - State:PA
Practice Address - Zip Code:17313-9621
Practice Address - Country:US
Practice Address - Phone:410-935-5854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife