Organization Name: | SMALLTALK SPEECH PATHOLOGY LLC |
NPI Number: | 1841557162 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEAN F MEYER (PRESIDENT/CEO) |
Mailing Address: | 230 Northgate St #647 Lake Forest |
State: | IL US |
Postal Code: | 600455600 |
Phone Number: | 8473020294 |
Fax Number: | 8472452110 |
NPI Enumeration Date: | 04/12/2012 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.009669 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |