Organization
SMALL TALK SPEECH & LANGUAGE SERVICES
Active
Other names
Small Talk Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN HIBBS (OWNER)
(208) 996-0552
Entity
Organization
Contact information
Practice address
1508 W CAYUSE CREEK DR STE 100, MERIDIAN, ID 83646-6135
(208) 996-0552
(208) 496-9281
Mailing address
1508 W CAYUSE CREEK DR STE 100, MERIDIAN, ID 83646-6135
(208) 996-0552
(208) 496-9281
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SLP-2299
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558657866
—
ID
Enumeration date
08/04/2017
Last updated
07/21/2022
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