Provider Demographics
NPI:1689288581
Name:EASY TALK PEDIATRICS, LLC
Entity Type:Organization
Organization Name:EASY TALK PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MCD, CCC-SLP
Authorized Official - Phone:843-580-8729
Mailing Address - Street 1:1643B SAVANNAH HWY # 202
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6256
Mailing Address - Country:US
Mailing Address - Phone:843-580-8729
Mailing Address - Fax:907-308-6754
Practice Address - Street 1:1643B SAVANNAH HWY # 202
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6256
Practice Address - Country:US
Practice Address - Phone:843-580-8729
Practice Address - Fax:907-308-6754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty