Organization Active NPI

Talk-a-Boo Pediatric Therapeutic Services LLC

  • Speech-Language Pathologist
  • Norcross, GA
National Provider Identifier
1679248348
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Danielle Cruger, CCC-SLPNPI 1922771385
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.