Provider Demographics
NPI:1952058760
Name:SWEET TALK SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:SWEET TALK SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SERENA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:815-474-9277
Mailing Address - Street 1:16624 S FOX RUN CIR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60586-9127
Mailing Address - Country:US
Mailing Address - Phone:815-474-9277
Mailing Address - Fax:
Practice Address - Street 1:16624 S FOX RUN CIR
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60586-9127
Practice Address - Country:US
Practice Address - Phone:815-474-9277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-02
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty