Organization
SMALL TALK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH WALLACE (SPEECH LANGUAGE PATHOLOGIST)
(812) 596-0047
Entity
Organization
Contact information
Practice address
2818 GRANT LINE RD STE B, NEW ALBANY, IN 47150-2492
(812) 903-9633
(812) 984-0004
Mailing address
2818 GRANT LINE RD STE B, NEW ALBANY, IN 47150-2492
(812) 903-9633
(812) 984-0004
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
222Q00000X
Developmental Therapist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
09/12/2024
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