Provider Demographics
NPI:1952665796
Name:LOOK WHO'S TALKING, PLLC
Entity Type:Organization
Organization Name:LOOK WHO'S TALKING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST, SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBLEDO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:480-390-8746
Mailing Address - Street 1:22665 S 194TH WAY
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-8970
Mailing Address - Country:US
Mailing Address - Phone:480-390-8746
Mailing Address - Fax:480-279-3518
Practice Address - Street 1:22665 S 194TH WAY
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-8970
Practice Address - Country:US
Practice Address - Phone:480-390-8746
Practice Address - Fax:480-279-3518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP6212251C00000X, 251S00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ435481OtherPERSONAL AHCCCS/MEDICAID PROVIDER#, FOR INDIVIDUAL, NOT BUSINESS
AZ1851533004OtherPERSONAL NPI FOR INDIVIDUAL, NOT BUSINESS