Provider Demographics
NPI:1790468098
Name:WALKIE TALKIE THERAPY LLC
Entity Type:Organization
Organization Name:WALKIE TALKIE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:EUGENIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-321-9347
Mailing Address - Street 1:616 CLEARWATER PARK RD APT 1204
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-6250
Mailing Address - Country:US
Mailing Address - Phone:850-321-9347
Mailing Address - Fax:
Practice Address - Street 1:616 CLEARWATER PARK RD APT 1204
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6250
Practice Address - Country:US
Practice Address - Phone:850-321-9347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech