Provider Demographics
NPI:1962108027
Name:HOVSEPIAN, TALIN ANI (LAC)
Entity type:Individual
Prefix:MS
First Name:TALIN
Middle Name:ANI
Last Name:HOVSEPIAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 KNOLLWOOD RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LKS
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-1710
Mailing Address - Country:US
Mailing Address - Phone:201-819-6461
Mailing Address - Fax:
Practice Address - Street 1:688 KNOLLWOOD RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN LKS
Practice Address - State:NJ
Practice Address - Zip Code:07417-1710
Practice Address - Country:US
Practice Address - Phone:201-819-6461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00694300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional