Provider Demographics
NPI:1548055270
Name:CHATTERBUG PEDIATRIC THERAPY LLC
Entity type:Organization
Organization Name:CHATTERBUG PEDIATRIC THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHAKEYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, SLP
Authorized Official - Phone:813-382-8385
Mailing Address - Street 1:5616 LIMELIGHT DR
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2755
Mailing Address - Country:US
Mailing Address - Phone:813-382-8385
Mailing Address - Fax:
Practice Address - Street 1:5616 LIMELIGHT DR
Practice Address - Street 2:
Practice Address - City:APOLLO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33572-2755
Practice Address - Country:US
Practice Address - Phone:813-382-8385
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech