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Organization
SMALL TALK INC.
Active
Organization
SMALL TALK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY PENLEY M.ED., CCC-SLP (PRESIDENT)
(919) 787-6494
Entity
Organization
Contact information
Practice address
3608 BRIDGETON PARK DR, RALEIGH, NC 27612-4153
(919) 787-6494
Mailing address
3608 BRIDGETON PARK DR, RALEIGH, NC 27612-4153
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5585
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211790
—
NC
Enumeration date
10/26/2006
Last updated
08/28/2007
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