Organization Name: | TODDLER TALK: SPEECH-LANGUAGE PATHOLOGY |
NPI Number: | 1124210208 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY YVONNE CHILDRESS (OWNER/CLINICIAN) |
Mailing Address: | 643 Sweetwater Rd Berea |
State: | KY US |
Postal Code: | 404038580 |
Phone Number: | 6063085396 |
Fax Number: | 6062569427 |
NPI Enumeration Date: | 08/13/2007 |
NPI Last Update Date: | 08/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | KY-2373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |