Provider Demographics
NPI:1558627240
Name:T FOR TALK
Entity Type:Organization
Organization Name:T FOR TALK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOELLE
Authorized Official - Middle Name:KHRISTEN
Authorized Official - Last Name:BEACH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:949-291-0574
Mailing Address - Street 1:40 GINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-5340
Mailing Address - Country:US
Mailing Address - Phone:949-291-0574
Mailing Address - Fax:
Practice Address - Street 1:40 GINGHAM ST
Practice Address - Street 2:
Practice Address - City:TRABUCO CANYON
Practice Address - State:CA
Practice Address - Zip Code:92679-5340
Practice Address - Country:US
Practice Address - Phone:949-291-0574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 13226235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty