Provider Demographics
NPI:1225196280
Name:THE GREAT TALKING BOX COMPANY
Entity Type:Organization
Organization Name:THE GREAT TALKING BOX COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ED
Authorized Official - Middle Name:M
Authorized Official - Last Name:KANDEFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-456-0133
Mailing Address - Street 1:2245 FORTUNE DR STE A
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-1867
Mailing Address - Country:US
Mailing Address - Phone:408-456-0133
Mailing Address - Fax:408-456-0134
Practice Address - Street 1:2245 FORTUNE DR STE A
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1867
Practice Address - Country:US
Practice Address - Phone:408-456-0133
Practice Address - Fax:408-456-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1010122355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4811670001Medicare ID - Type UnspecifiedMEDICARE #