Provider Demographics
NPI:1417091448
Name:TALK TIME SPEECH & LANGUAGE SERVICES, INC.
Entity Type:Organization
Organization Name:TALK TIME SPEECH & LANGUAGE SERVICES, INC.
Other - Org Name:SHANNON DIESING & ASSOCIATES, P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBORN
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:407-298-7113
Mailing Address - Street 1:2910 MAGUIRE RD
Mailing Address - Street 2:SUITE 2003
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-4719
Mailing Address - Country:US
Mailing Address - Phone:407-298-7113
Mailing Address - Fax:
Practice Address - Street 1:2910 MAGUIRE RD
Practice Address - Street 2:SUITE 2003
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-4719
Practice Address - Country:US
Practice Address - Phone:407-298-7113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA4767235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7432831OtherAETNA PROVIDER NUMBER
FLS2204OtherBCBS PROVIDER