Provider Demographics
NPI:1093001893
Name:CHATTERBOX THERAPY, LLC
Entity Type:Organization
Organization Name:CHATTERBOX THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P. OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:URMIL
Authorized Official - Middle Name:KAMAL
Authorized Official - Last Name:PAREKH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-465-3756
Mailing Address - Street 1:5199 DERBY FOREST LN
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-1514
Mailing Address - Country:US
Mailing Address - Phone:904-465-3756
Mailing Address - Fax:904-262-5773
Practice Address - Street 1:5199 DERBY FOREST LN
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-1514
Practice Address - Country:US
Practice Address - Phone:904-465-3756
Practice Address - Fax:904-262-5773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA5993235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty