Provider Demographics
NPI:1720214869
Name:CORPORATE TALKS SPEECH PATHOLOGY, INC
Entity Type:Organization
Organization Name:CORPORATE TALKS SPEECH PATHOLOGY, INC
Other - Org Name:CORPORATE TALKS
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARLYNE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN-PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:708-228-4192
Mailing Address - Street 1:31989 HARDEN ST
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-4720
Mailing Address - Country:US
Mailing Address - Phone:708-228-4192
Mailing Address - Fax:
Practice Address - Street 1:31989 HARDEN ST
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-4720
Practice Address - Country:US
Practice Address - Phone:708-228-4192
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-03
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15495235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty