Healthcare Provider Details

I. General information

NPI: 1477466506
Provider Name (Legal Business Name): SMALL TALK SPEECH AND LANGUAGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 DEVEREUX CIR
VESTAVIA AL
35243-2563
US

IV. Provider business mailing address

3753 N WOODRIDGE RD
MOUNTAIN BRK AL
35223-2111
US

V. Phone/Fax

Practice location:
  • Phone: 770-289-3572
  • Fax: 205-641-8733
Mailing address:
  • Phone: 770-289-3572
  • Fax: 205-641-8733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: EMMA KATHERINE LEE
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: M.ED., CCC-SLP
Phone: 770-289-3572