Provider Demographics
NPI:1528309952
Name:TALK-TO-THERAPY SPEECH REHABILITATION, PLLC
Entity type:Organization
Organization Name:TALK-TO-THERAPY SPEECH REHABILITATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:IMELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:956-225-8772
Mailing Address - Street 1:1300 N 10TH ST STE 480B
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-2680
Mailing Address - Country:US
Mailing Address - Phone:956-225-8772
Mailing Address - Fax:
Practice Address - Street 1:1300 N 10TH ST STE 480B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2680
Practice Address - Country:US
Practice Address - Phone:956-225-8772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103816235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty