Organization
SMALL TALK SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA KAY WYLIE M.A. (OWNER)
(260) 625-4323
Entity
Organization
Contact information
Practice address
2229 CALAIS RD, FORT WAYNE, IN 46814-9179
(260) 625-4323
(260) 625-3179
Mailing address
2229 CALAIS RD, FORT WAYNE, IN 46814-9179
(260) 625-4323
(260) 625-3179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003447A
IN
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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