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Organization
SWEET TALK, LLC
Active
Organization
SWEET TALK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE SHUSTER M.A., CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(727) 418-9925
Entity
Organization
Contact information
Practice address
805 DUVAL CT, SAFETY HARBOR, FL 34695-2635
(727) 418-9925
Mailing address
805 DUVAL CT, SAFETY HARBOR, FL 34695-2635
(727) 418-9925
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
001954200
FL
235Z00000X
Speech-Language Pathologist
Primary
SA9686
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000563800
—
FL
05
—
001954200
—
FL
01
—
CF744A
MEDICARE PTAN
FL
Enumeration date
09/10/2009
Last updated
06/13/2011
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