Provider Demographics
NPI:1992512792
Name:TALKING TOM PEDIATRIC THERAPIES PLLC
Entity type:Organization
Organization Name:TALKING TOM PEDIATRIC THERAPIES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:TOMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:845-821-0050
Mailing Address - Street 1:1717 GEORGE LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-2003
Mailing Address - Country:US
Mailing Address - Phone:845-821-0050
Mailing Address - Fax:
Practice Address - Street 1:1717 GEORGE LN
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-2003
Practice Address - Country:US
Practice Address - Phone:845-821-0050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty