Small Talk Therapy Services PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SMALL TALK THERAPY SERVICES PC

Practice address

220 N Oak Park Ave
#1V
Oak Park, IL 60302-2187

Phone

(312) 493-4716

Fax

(708) 445-1965

NPI assigned

Feb 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elise Bergman

Title

President Speech Language Patholgst

Phone

(312) 493-4716

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144355777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N OAK PARK AVE",
            "address_2": "#1V",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022187",
            "telephone_number": "312-493-4716",
            "fax_number": "708-445-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N OAK PARK AVE",
            "address_2": "#1V",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022187",
            "telephone_number": "312-493-4716",
            "fax_number": "708-445-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "PRESIDENT SPEECH LANGUAGE PATHOLGST",
        "authorized_official_telephone_number": "312-493-4716"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Oak Park, IL
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• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.