Provider Demographics
NPI:1205336492
Name:TALKING FUN SLP PC
Entity type:Organization
Organization Name:TALKING FUN SLP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YEKATERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KONOVALOVA
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:646-247-1622
Mailing Address - Street 1:1445 SHORE PKWY APT 2T
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-6123
Mailing Address - Country:US
Mailing Address - Phone:646-247-1622
Mailing Address - Fax:
Practice Address - Street 1:1445 SHORE PKWY APT 2T
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-6123
Practice Address - Country:US
Practice Address - Phone:646-247-1622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-14
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency