# SMALL TALK PEDIATRIC SPEECH THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821446790
- **Authorized official:** MISS KEIRA STEWART MS.CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (646) 385-2354

## Contact information

- **Practice address:** 1732 1ST AVE \# 25553, NEW YORK, NY 10128-5177
- **Practice address phone:** (646) 470-3401
- **Mailing address:** 1732 1ST AVE \# 25553, NEW YORK, NY 10128-5177
- **Mailing address phone:** (646) 470-3401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 025244 | NY | Yes |

## Other

- **Enumeration date:** 06/01/2016
- **Last updated:** 06/01/2016
