Organization Name: | SMALL TALK SPEECH AND LANGUAGE THERAPY, INC. |
NPI Number: | 1992170781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHAMONA MILLER (SPEECH LANGUAGE PATBOLOGIST/OWNER) |
Mailing Address: | 103 N Broadway St Mccomb |
State: | MS US |
Postal Code: | 396483901 |
Phone Number: | 6017544524 |
Fax Number: | 6013853040 |
NPI Enumeration Date: | 12/06/2015 |
NPI Last Update Date: | 12/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3363 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |