Provider Demographics
NPI:1740563329
Name:TALK & PLAY PEDIATRIC THERAPY
Entity Type:Organization
Organization Name:TALK & PLAY PEDIATRIC THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAGOYA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP ASSISTANT
Authorized Official - Phone:210-204-9371
Mailing Address - Street 1:225 LIECK CV
Mailing Address - Street 2:
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3752
Mailing Address - Country:US
Mailing Address - Phone:210-204-9371
Mailing Address - Fax:
Practice Address - Street 1:225 LIECK CV
Practice Address - Street 2:
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3752
Practice Address - Country:US
Practice Address - Phone:210-204-9371
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340552355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty