Small Town Speech & Language, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SMALL TOWN SPEECH & LANGUAGE, INC.

Practice address

20 Perkins CT
Oakley, CA 94561-2223

Phone

(925) 392-5984

NPI assigned

Oct 14, 2020

Organization subpart

No

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

Authorized official

Name

Heidi Ursula Matejka Tank, MA, CCC-SLP

Title

Speech Pathologist/Owner

Phone

(510) 367-9140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602633600000",
    "number": "1467050179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PERKINS CT",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945612223",
            "telephone_number": "925-392-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PERKINS CT",
            "city": "OAKLEY",
            "state": "CA",
            "postal_code": "945612223",
            "telephone_number": "925-392-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TOWN SPEECH & LANGUAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-14",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "TANK",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "URSULA MATEJKA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "510-367-9140",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tami Sue Scott Fortner, RN, BSN, IBCLC
• Michelle Shaw
• Janet L Sherwin, RDN
• Harkamal Singh
• Kari Sjolin, LMFT
• Chrisaline Smith
• Fantastic Fiona Smith
• Patti L Smith
• Alondra Soto Rodriguez
• Summer Sparks

• Speech-Language Pathologist in Oakley, CA
• Providers in Oakley, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.