Provider Demographics
NPI:1124638572
Name:TALK WITH ME SPEECH THERAPY/HABLA CONMIGO TERAPIA DEL HABLA, LLC
Entity type:Organization
Organization Name:TALK WITH ME SPEECH THERAPY/HABLA CONMIGO TERAPIA DEL HABLA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILINGUAL SPEECH-LANGUAGE/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASIPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOHLFELD
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:910-818-3726
Mailing Address - Street 1:6080 LAKEVIEW RD APT 1907
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-9114
Mailing Address - Country:US
Mailing Address - Phone:910-818-3726
Mailing Address - Fax:478-245-9082
Practice Address - Street 1:6080 LAKEVIEW RD APT 1907
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-9114
Practice Address - Country:US
Practice Address - Phone:910-818-3726
Practice Address - Fax:478-245-9082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
14456889OtherCAQH
NC003216196AMedicaid