Organization
SMALL TALK SPEECH AND LANGUAGE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMONA MILLER M.S., CCC-SLP (SPEECH LANGUAGE PATBOLOGIST/OWNER)
(601) 754-4524
Entity
Organization
Contact information
Practice address
103 N BROADWAY ST, MCCOMB, MS 39648-3901
(601) 754-4524
(601) 385-3040
Mailing address
2085 ROBB STREET EXT W, SUMMIT, MS 39666-7048
(601) 754-4524
(601) 385-3040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S3363
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07201256
—
MS
Enumeration date
12/06/2015
Last updated
12/06/2015
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