Provider Demographics
NPI:1053073536
Name:PEP TALK, PLLC
Entity Type:Organization
Organization Name:PEP TALK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:NORBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MSED, CCC-SLP
Authorized Official - Phone:631-943-4717
Mailing Address - Street 1:613 AUTUMN DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28075-9496
Mailing Address - Country:US
Mailing Address - Phone:631-943-4717
Mailing Address - Fax:
Practice Address - Street 1:613 AUTUMN DR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:NC
Practice Address - Zip Code:28075-9496
Practice Address - Country:US
Practice Address - Phone:631-943-4717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty