Provider Demographics
NPI:1427209964
Name:CHATTERBOX INC
Entity Type:Organization
Organization Name:CHATTERBOX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ZANE
Authorized Official - Middle Name:
Authorized Official - Last Name:KROG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-521-7136
Mailing Address - Street 1:4825 CHASE LN
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-0283
Mailing Address - Country:US
Mailing Address - Phone:678-521-7136
Mailing Address - Fax:770-569-2274
Practice Address - Street 1:11785 NORTHFALL LN STE 501
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7961
Practice Address - Country:US
Practice Address - Phone:770-569-2274
Practice Address - Fax:770-569-7432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-02
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP006600235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA816897030AMedicaid