Active NPI
Small Talk Speech and Language Therapy, Inc.
- Speech-Language Pathologist
- McComb, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S3363
- Legal business name
- SMALL TALK SPEECH AND LANGUAGE THERAPY, INC.
- Practice address
- 103 N Broadway St
McComb, MS 39648-3901 - Phone
- (601) 754-4524
- Fax
- (601) 385-3040
- NPI assigned
- Dec 6, 2015
- 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
- Shamona Miller, M.S., CCC-SLP
- Title
- Speech Language Patbologist/Owner
- Phone
- (601) 754-4524
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 | S3363 | MS | Primary |
Addresses
Primary practice location
103 N Broadway St
McComb, MS 39648-3901
Mailing address
2085 Robb Street Ext W
Summit, MS 39666-7048
Phone (601) 754-4524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07201256 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Small Talk Speech and Language Therapy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Speech-Language Pathologist
- McComb, MS
- NPI 1528513678
Locations
103 N Broadway St
McComb, MS 39648
Phone (601) 754-4524
125 N 6th St
Ste B
McComb, MS 39648
Phone (601) 324-3324
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Summit, MS
- NPI 1952635120
-
- Speech-Language Pathologist
- Summit, MS
- NPI 1588233753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449360000000",
"number": "1992170781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 ROBB STREET EXT W",
"city": "SUMMIT",
"state": "MS",
"postal_code": "396667048",
"telephone_number": "601-754-4524",
"fax_number": "601-385-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N BROADWAY ST",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396483901",
"telephone_number": "601-754-4524",
"fax_number": "601-385-3040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMALL TALK SPEECH AND LANGUAGE THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-06",
"last_updated": "2015-12-06",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "SHAMONA",
"authorized_official_title_or_position": "SPEECH LANGUAGE PATBOLOGIST/OWNER",
"authorized_official_telephone_number": "601-754-4524",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S3363",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07201256",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.