Provider Demographics
NPI:1902317530
Name:LET'S TALK SPEECH AND LANGUAGE THERAPY, LLC.
Entity Type:Organization
Organization Name:LET'S TALK SPEECH AND LANGUAGE THERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CIARA
Authorized Official - Middle Name:GATES
Authorized Official - Last Name:HOLZER
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:412-200-2546
Mailing Address - Street 1:164 ARLA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2631
Mailing Address - Country:US
Mailing Address - Phone:412-200-2546
Mailing Address - Fax:412-200-2359
Practice Address - Street 1:164 ARLA DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2631
Practice Address - Country:US
Practice Address - Phone:412-200-2546
Practice Address - Fax:412-200-2359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL011075235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030025580002Medicaid