Organization Name: | SMALL TALK THE SPEECH AND LANGUAGE PRESCHOOL |
NPI Number: | 1558502526 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACIE POLLARD (CO-OWNER) |
Mailing Address: | 210 W Burnside Ave Ste C Chubbuck |
State: | ID US |
Postal Code: | 832024916 |
Phone Number: | 2082378255 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2009 |
NPI Last Update Date: | 03/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-1749 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |