Provider Demographics
NPI:1801436423
Name:SMALL TALK INC
Entity type:Organization
Organization Name:SMALL TALK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:FOLEY
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-733-8255
Mailing Address - Street 1:8777 SAN JOSE BLVD STE 701
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32217-4292
Mailing Address - Country:US
Mailing Address - Phone:904-733-8255
Mailing Address - Fax:904-733-5034
Practice Address - Street 1:215 SAINT GEORGE ST
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-4410
Practice Address - Country:US
Practice Address - Phone:904-733-8255
Practice Address - Fax:904-733-5034
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMALL TALK INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-11
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty