Provider Demographics
NPI:1982911939
Name:LET'S TALK SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:LET'S TALK SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:ISENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MACCC/SLP
Authorized Official - Phone:423-215-3029
Mailing Address - Street 1:589 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:TN
Mailing Address - Zip Code:37841-2515
Mailing Address - Country:US
Mailing Address - Phone:423-215-3029
Mailing Address - Fax:423-286-3787
Practice Address - Street 1:589 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-2515
Practice Address - Country:US
Practice Address - Phone:423-215-3029
Practice Address - Fax:423-286-3787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-10
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1655235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1982811939OtherMEDICARE
TN758122OtherUNITEDHEALTHCARE
TN1519660Medicaid
TN4265417OtherBLUE CROSS BLUE SHIELD