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Organization
SMALL TALK PEDIATRIC SPEECH THERAPY, LLC
Active
Organization
SMALL TALK PEDIATRIC SPEECH THERAPY, LLC
Active
Other names
smalltalk
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY UGLAND WILLIS M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(214) 429-3771
Entity
Organization
Contact information
Practice address
7500 STONEBROOK PKWY, SUITE 102, FRISCO, TX 75034-5377
(214) 429-3771
Mailing address
8312 WHITE STALLION TRL, MCKINNEY, TX 75070-6899
(214) 429-3771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
104843
TX
235Z00000X
Speech-Language Pathologist
Primary
19630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063501245
INDIVIDUAL NPI NUMBER
TX
01
—
1841430881
INDIVIDUAL NPI NUMBER
TX
Enumeration date
08/15/2014
Last updated
08/15/2014
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