Provider Demographics
NPI:1407544125
Name:TALKSPEAK SPEECH AND LANGUAGE SERVICES, PLLC
Entity Type:Organization
Organization Name:TALKSPEAK SPEECH AND LANGUAGE SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:PHOEMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUBRA
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:214-271-4379
Mailing Address - Street 1:PO BOX 227011
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75222-7011
Mailing Address - Country:US
Mailing Address - Phone:214-271-4379
Mailing Address - Fax:214-774-1026
Practice Address - Street 1:9900 SPECTRUM DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-4555
Practice Address - Country:US
Practice Address - Phone:214-271-4379
Practice Address - Fax:214-774-1026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty