Provider Demographics
NPI:1659649358
Name:TALER, YAEL (PSYD)
Entity type:Individual
Prefix:
First Name:YAEL
Middle Name:
Last Name:TALER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 N 24TH ST APT E1E
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-3656
Mailing Address - Country:US
Mailing Address - Phone:476-180-7193
Mailing Address - Fax:
Practice Address - Street 1:1015 N 24TH ST APT E1E
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-3656
Practice Address - Country:US
Practice Address - Phone:476-180-7193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020926103TC0700X
PAPS019008103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical