Provider Demographics
NPI:1508308677
Name:SPEECHJAZ SMALL WORDS. BIG TALK. LLC
Entity Type:Organization
Organization Name:SPEECHJAZ SMALL WORDS. BIG TALK. LLC
Other - Org Name:VASNRS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASPREET KAUR
Authorized Official - Middle Name:
Authorized Official - Last Name:PRITAM SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MA, CCC-SLP
Authorized Official - Phone:775-750-2005
Mailing Address - Street 1:PO BOX 2467
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-9114
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9844 LORI RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-6691
Practice Address - Country:US
Practice Address - Phone:775-750-2005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty