Small Talk Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22003447A Issued in IN

Legal business name

SMALL TALK SPEECH THERAPY LLC

Practice address

2229 Calais Rd
Fort Wayne, IN 46814-9179

Phone

(260) 625-4323

Fax

(260) 625-3179

NPI assigned

Aug 20, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Debra Kay Wylie, M.A.NPI 1194822734

Title

Owner

Phone

(260) 625-4323

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra Kay Wylie, SPEECH PATHOLOGIST

  • Speech-Language Pathologist
  • Fort Wayne, IN
  • NPI 1194822734
  NPD (past) Authorized official

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1649586157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 CALAIS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149179",
            "telephone_number": "260-625-4323",
            "fax_number": "260-625-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 CALAIS RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468149179",
            "telephone_number": "260-625-4323",
            "fax_number": "260-625-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TALK SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "WYLIE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-625-4323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003447A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Slusser
• David Slyby, D.D.S.
• Roland Fred Slyby, DDS
• Laura Smaling
• Small Steps - Giant Leaps, Inc.
• Jacquelyn Geraldine Small, DO
• Roy Small, DO
• Heather C Smalley, CADAC II
• Logan T Smead
• Aisha-Amina Smiley, MSW

• Speech-Language Pathologist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.