Provider Demographics
NPI:1588332944
Name:STRAIGHT TALK SPEECH & LANGUAGE SERVICES LLC
Entity type:Organization
Organization Name:STRAIGHT TALK SPEECH & LANGUAGE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:FELECIA
Authorized Official - Middle Name:WILLIAMS
Authorized Official - Last Name:WILLIAMS-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MEDCCC
Authorized Official - Phone:985-209-9029
Mailing Address - Street 1:123 SLATE LANE
Mailing Address - Street 2:OPTIONAL
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360
Mailing Address - Country:US
Mailing Address - Phone:985-209-9029
Mailing Address - Fax:985-580-1419
Practice Address - Street 1:123 SLATE LANE
Practice Address - Street 2:OPTIONAL
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360
Practice Address - Country:US
Practice Address - Phone:985-209-9029
Practice Address - Fax:985-580-1419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty