Organization
SMALL TALK PEDIATRIC THERAPY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYN FISH M.A., CCC-SLP (OWNER)
(317) 696-4160
Entity
Organization
Contact information
Practice address
2091 LIBERTY WAY DR, GREENWOOD, IN 46143-7282
(317) 696-4160
(317) 885-8128
Mailing address
2091 LIBERTY WAY DR, GREENWOOD, IN 46143-7282
(317) 696-4160
(317) 885-8128
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
22003729A
IN
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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