Provider Demographics
NPI:1003242777
Name:TALK THE TALK INC
Entity Type:Organization
Organization Name:TALK THE TALK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:PEAVLER
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:815-735-8169
Mailing Address - Street 1:24155 S BLACKHAWK DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:IL
Mailing Address - Zip Code:60442-8425
Mailing Address - Country:US
Mailing Address - Phone:815-735-8169
Mailing Address - Fax:815-531-1940
Practice Address - Street 1:24155 S BLACKHAWK DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:IL
Practice Address - Zip Code:60442-8425
Practice Address - Country:US
Practice Address - Phone:815-735-8169
Practice Address - Fax:815-531-1940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010238235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty