Provider Demographics
NPI:1124292305
Name:BABY TALK, PC
Entity type:Organization
Organization Name:BABY TALK, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SPEECH-LANGUAGE PATHOLOGI
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELIC
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GISCLAIR-HADAD
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC-SLP
Authorized Official - Phone:317-698-9020
Mailing Address - Street 1:4365 BRAEMAR DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-3688
Mailing Address - Country:US
Mailing Address - Phone:317-698-9020
Mailing Address - Fax:317-489-4361
Practice Address - Street 1:4365 BRAEMAR DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-3688
Practice Address - Country:US
Practice Address - Phone:317-698-9020
Practice Address - Fax:317-489-4361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN58000040A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty