Healthcare Provider Details

I. General information

NPI: 1356625214
Provider Name (Legal Business Name): THE TALK TEAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2011
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1752 E BULLARD AVE SUITE 101
FRESNO CA
93710-5864
US

IV. Provider business mailing address

1752 E BULLARD AVE SUITE 101
FRESNO CA
93710-5864
US

V. Phone/Fax

Practice location:
  • Phone: 559-970-8277
  • Fax: 559-549-6261
Mailing address:
  • Phone: 559-970-8277
  • Fax: 559-549-6261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14578
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number18888
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number13262
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-09-6445
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-11-8245
License Number StateCA

VIII. Authorized Official

Name: MRS. AMY M PRINCE
Title or Position: PARTNER
Credential: SLP
Phone: 559-970-8277