Provider Demographics
NPI:1306345962
Name:SMALL TALK THERAPY SERVICES
Entity type:Organization
Organization Name:SMALL TALK THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:IJEH
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:713-471-9086
Mailing Address - Street 1:1820 S MASON RD STE 305
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-6239
Mailing Address - Country:US
Mailing Address - Phone:713-471-9086
Mailing Address - Fax:832-554-9973
Practice Address - Street 1:1820 S MASON RD STE 305
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6239
Practice Address - Country:US
Practice Address - Phone:713-471-9086
Practice Address - Fax:832-554-9973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty