Provider Demographics
NPI: | 1902207194 |
---|---|
Name: | TALK SALT LLC |
Entity type: | Organization |
Organization Name: | TALK SALT LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | MEAGAN |
Authorized Official - Middle Name: | D |
Authorized Official - Last Name: | MEEGAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MS,CCC-SLP |
Authorized Official - Phone: | 617-571-8468 |
Mailing Address - Street 1: | PO BOX 117 |
Mailing Address - Street 2: | |
Mailing Address - City: | LITTLETON |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 01460-0117 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 617-571-8468 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 61 GOLDSMITH ST |
Practice Address - Street 2: | |
Practice Address - City: | LITTLETON |
Practice Address - State: | MA |
Practice Address - Zip Code: | 01460-1925 |
Practice Address - Country: | US |
Practice Address - Phone: | 617-571-8468 |
Practice Address - Fax: | 978-742-4950 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-09-08 |
Last Update Date: | 2014-09-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MA | 7687 | 235Z00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Single Specialty |