Provider Demographics
NPI:1053081919
Name:TALK THE TALK THERAPY LLC
Entity Type:Organization
Organization Name:TALK THE TALK THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DIANTONIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-320-1924
Mailing Address - Street 1:532 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4845
Mailing Address - Country:US
Mailing Address - Phone:772-362-9370
Mailing Address - Fax:305-503-8984
Practice Address - Street 1:532 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4845
Practice Address - Country:US
Practice Address - Phone:772-362-9370
Practice Address - Fax:305-503-8984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL105274300Medicaid
FL107168700Medicaid