Provider Demographics
NPI:1740637461
Name:TALK SPEECH THERAPY LLC
Entity type:Organization
Organization Name:TALK SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VIBHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI-WEIMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-598-1736
Mailing Address - Street 1:107 WHITLOCK CT
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-7937
Mailing Address - Country:US
Mailing Address - Phone:732-598-1736
Mailing Address - Fax:732-252-8704
Practice Address - Street 1:107 WHITLOCK CT
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-7937
Practice Address - Country:US
Practice Address - Phone:732-598-1736
Practice Address - Fax:732-252-8704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00273700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty