Organization
SMALL TALK PEDIATRIC SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KEIRA STEWART MS.CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(646) 385-2354
Entity
Organization
Contact information
Practice address
1732 1ST AVE # 25553, NEW YORK, NY 10128-5177
(646) 470-3401
Mailing address
1732 1ST AVE # 25553, NEW YORK, NY 10128-5177
(646) 470-3401
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
025244
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04253105
—
NY
Enumeration date
06/01/2016
Last updated
06/01/2016
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