Provider Demographics
NPI: | 1639424609 |
---|---|
Name: | TALKING TRAIN THERAPY PLLC |
Entity Type: | Organization |
Organization Name: | TALKING TRAIN THERAPY PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BRENDA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SANTA MARIA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | SLP |
Authorized Official - Phone: | 956-849-1818 |
Mailing Address - Street 1: | PO BOX 17 |
Mailing Address - Street 2: | |
Mailing Address - City: | RIO GRANDE CITY |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78582 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 956-735-9431 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 111 S. COX ST |
Practice Address - Street 2: | |
Practice Address - City: | RIO GRANDE CITY |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78582 |
Practice Address - Country: | US |
Practice Address - Phone: | 956-735-9431 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-07-17 |
Last Update Date: | 2012-07-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 101892 | 235Z00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Single Specialty |