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Organization

TALK THE TALK PEDIATRIC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFRY M POLLOCK SLPA (CEO/OWNER)
(623) 826-2926
Entity
Organization

Contact information

Practice address
7922 W ADAM AVE, PEORIA, AZ 85382-4470
(623) 826-2926
Mailing address
7922 W ADAM AVE, PEORIA, AZ 85382-4470
(623) 826-2926

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
AZ
225X00000X
Occupational Therapist
AZ
2355S0801X
Speech-Language Assistant
SLPA6929
AZ
235Z00000X
Speech-Language Pathologist
SLP4840
AZ
261QH0700X
Hearing and Speech Clinic/Center
Primary
SLP4840
AZ
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AZ

Other

Enumeration date
05/18/2016
Last updated
05/18/2016
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