Healthcare Provider Details

I. General information

NPI: 1871249110
Provider Name (Legal Business Name): TALK TIME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2022
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 SERENITY LN
HECTOR AR
72843-8544
US

IV. Provider business mailing address

60 SERENITY LN
HECTOR AR
72843-8544
US

V. Phone/Fax

Practice location:
  • Phone: 501-428-1918
  • Fax:
Mailing address:
  • Phone: 501-428-1918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CORRI B CHISM
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MS CCC-SLP
Phone: 501-428-1918