| Organization Name: | SMALL TALK IDTS |
| NPI Number: | 1215125554 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE FOLEY WATTS (CLINICAL DIRECTOR) |
| Mailing Address: | 9471 Baymeadows Rd Suite 304 Jacksonville |
| State: | FL US |
| Postal Code: | 322567932 |
| Phone Number: | 9047338255 |
| Fax Number: | 9037335034 |
| NPI Enumeration Date: | 10/11/2007 |
| NPI Last Update Date: | 10/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA-4027 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |