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Organization
TALKTIME PEDIATRIC SPEECH ACADEMY, INC
Active
Organization
TALKTIME PEDIATRIC SPEECH ACADEMY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY LYNN BASEL MS CCC/SLP (SPEECH/LANGUAGE PATHOLOGIST)
(815) 353-9527
Entity
Organization
Contact information
Practice address
1575 W LAKE SHORE DR, WOODSTOCK, IL 60098-6917
(815) 353-9527
(815) 337-7583
Mailing address
1302 LILAC LN, HARVARD, IL 60033-3722
(815) 943-3439
(815) 337-7583
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.004443
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01094374
ASHA CERTIFICATION STATUS
IL
01
—
146.004443
LICENSE NUMBER
IL
Enumeration date
06/12/2015
Last updated
06/12/2015
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