| Small Talk Inc | |
|
2818 Grant Line Rd Ste B New Albany IN 47150-2492 | |
| (812) 903-9633 | |
| (812) 984-0004 |
| Full Name | Small Talk Inc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 2818 Grant Line Rd Ste B, New Albany, Indiana |
| Authorized Official Name and Position | Hannah Wallace (SPEECH LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 8125960047 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Small Talk Inc 2818 Grant Line Rd Ste B New Albany IN 47150-2492 Ph: (812) 903-9633 | Small Talk Inc 2818 Grant Line Rd Ste B New Albany IN 47150-2492 Ph: (812) 903-9633 |
| NPI Number | 1609533256 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 09/12/2024 |
| Certification Date | 09/12/2024 |
| Medicare PECOS PAC ID | 7810368131 |
|---|---|
| Medicare Enrollment ID | O20230125001164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609533256 | NPI | - | NPPES |
| Provider Name | Hannah Lea Wallace |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770927030 PECOS PAC ID: 1456722776 Enrollment ID: I20230125003222 |
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