Organization Name: | SMALL TALK THERAPY, INC |
NPI Number: | 1629414552 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARTI ANN MONDELL (PRESIDENT AND SLP) |
Mailing Address: | 5065 Sw 40th Pl Ocala |
State: | FL US |
Postal Code: | 344749588 |
Phone Number: | 3522663706 |
Fax Number: | |
NPI Enumeration Date: | 05/19/2013 |
NPI Last Update Date: | 05/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA2556 |
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 |