MEDICARE: SWEET TALKERS SPEECH THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1407612583
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET TALKERS SPEECH THERAPY LLC

Provider Business Mailing Address
First Line	:	5 BEACON CT
Second Line	:
City	:	WEST LONG BRANCH
State	:	NJ
Zip	:	07764-1209
Country	:	US
Telephone Number	:	732-895-7117
Fax Number	:	848-777-4236

Provider Business Practice Location Address
First Line	:	5 BEACON CT
Second Line	:
City	:	WEST LONG BRANCH
State	:	NJ
Zip	:	07764-1209
Country	:	US
Telephone Number	:	732-895-7117
Fax Number	:	848-777-4236

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST OWNER
Name	:	MS. LEIGH COHEN
Credential	:	M.S. CCC-SLP
Telephone Number	:	732-895-7117

Provider Enumeration Date	:	02/26/2024
Last Update Date	:	03/01/2024

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