Active NPI
Talk-a-Boo Pediatric Therapeutic Services LLC
- Speech-Language Pathologist
- Norcross, GA
National Provider Identifier
1679248348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- TALK-A-BOO PEDIATRIC THERAPEUTIC SERVICES LLC
- Practice address
- 612 Park Colony Dr
Norcross, GA 30093-1662 - Phone
- (352) 727-1434
- NPI assigned
- Aug 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Cruger, CCC-SLP
- Title
- SLP
- Phone
- (352) 727-1434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
612 Park Colony Dr
Norcross, GA 30093-1662
Mailing address
PO Box 2063
Tucker, GA 30085-2063
Phone (352) 727-1434
Other names 1
- Talk-A-Boo Pediatric Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Norcross, GA
- NPI 1922771385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628812800000",
"number": "1679248348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2063",
"city": "TUCKER",
"state": "GA",
"postal_code": "300852063",
"telephone_number": "352-727-1434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 PARK COLONY DR",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300931662",
"telephone_number": "352-727-1434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALK-A-BOO PEDIATRIC THERAPEUTIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A",
"authorized_official_last_name": "CRUGER",
"authorized_official_first_name": "DANIELLE",
"authorized_official_title_or_position": "SLP",
"authorized_official_telephone_number": "352-727-1434",
"authorized_official_credential": "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": [
{
"organization_name": "Talk-A-Boo Pediatric Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.