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Organization
SMALL TALK SPEECH SERVICES, LLC
Active
Organization
SMALL TALK SPEECH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MARIE ERICKSON-KELLER MS CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(815) 671-2885
Entity
Organization
Contact information
Practice address
1600 DERBY DR, BOURBONNAIS, IL 60914-9413
(815) 671-2885
Mailing address
1106 RIVERLANE DR, BRADLEY, IL 60915-1947
(815) 671-2885
(833) 849-4201
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
146011665
IL
261QA3000X
Augmentative Communication Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
146011665
IL
Other
Enumeration date
07/09/2018
Last updated
04/10/2023
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