Provider Demographics
NPI:1376089102
Name:LETS TALK THERAPY INC
Entity Type:Organization
Organization Name:LETS TALK THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:OLSON
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:708-557-9237
Mailing Address - Street 1:9026 ADARE AVE
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-9018
Mailing Address - Country:US
Mailing Address - Phone:708-557-9237
Mailing Address - Fax:708-478-8064
Practice Address - Street 1:9026 ADARE AVE
Practice Address - Street 2:
Practice Address - City:MOKENA
Practice Address - State:IL
Practice Address - Zip Code:60448-9018
Practice Address - Country:US
Practice Address - Phone:708-557-9237
Practice Address - Fax:708-478-8064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146007356235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty