Provider Demographics
NPI:1154461762
Name:SOMETHING TO TALK ABOUT THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:SOMETHING TO TALK ABOUT THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:EUGENIO
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:623-203-4109
Mailing Address - Street 1:8877 N 107TH AVE STE 302 PMB #503
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85345-7474
Mailing Address - Country:US
Mailing Address - Phone:623-203-4109
Mailing Address - Fax:623-547-6473
Practice Address - Street 1:8769 W NORTHVIEW AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85305-6938
Practice Address - Country:US
Practice Address - Phone:623-203-4109
Practice Address - Fax:623-547-6473
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0242251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ115692Medicaid