Organization Name: | LET'S TALK SPEECH AND LANGUAGE SERVICES, LLC |
NPI Number: | 1225435589 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IDA DEON MOCK (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 1067 E Austin Ave Salt Lake City |
State: | UT US |
Postal Code: | 841062105 |
Phone Number: | 4357053881 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2014 |
NPI Last Update Date: | 12/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 14083857 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
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 |