Provider Demographics
NPI:1740424597
Name:CHATTERBOX SPEECH THERAPY SERVICES, PLLC
Entity Type:Organization
Organization Name:CHATTERBOX SPEECH THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER/MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:704-895-5344
Mailing Address - Street 1:9740 DEVONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-4860
Mailing Address - Country:US
Mailing Address - Phone:704-895-5344
Mailing Address - Fax:704-895-7297
Practice Address - Street 1:9740 DEVONSHIRE DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-4860
Practice Address - Country:US
Practice Address - Phone:704-895-5344
Practice Address - Fax:704-895-7297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty