NPI 1093028797

Small Talk Pediatric Therapy INC.

Organisation Early Intervention Provider Agency Greenwood, IN

Practice location

Address: 2091 Liberty Way Dr, Greenwood, IN 46143-7282
Phone: (317) 696-4160
Fax: (317) 885-8128

Authorised official

Name: Jennifer Lyn Fish
Title: Owner
Phone: (317) 696-4160

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 22003729A (IN)

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Registry record

NPI: 1093028797
Entity type: Organization
NPI issued: 22 Jul 2010
Record last updated: 22 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.