Provider Demographics
NPI:1417266503
Name:CHATTER BOX THERAPY SERVICES, PLLC
Entity Type:Organization
Organization Name:CHATTER BOX THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:ORGERON
Authorized Official - Last Name:FRIED
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:601-818-0103
Mailing Address - Street 1:5891 HIGHWAY 49
Mailing Address - Street 2:SUITE 60-118
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-2810
Mailing Address - Country:US
Mailing Address - Phone:601-818-0103
Mailing Address - Fax:601-812-5424
Practice Address - Street 1:5891 HIGHWAY 49
Practice Address - Street 2:SUITE 60-118
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-2810
Practice Address - Country:US
Practice Address - Phone:601-818-0103
Practice Address - Fax:601-812-5424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS3205235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty