Healthcare Provider Details

I. General information

NPI: 1154116192
Provider Name (Legal Business Name): CHITTER CHATTER SPEECH CO., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2025
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4839 MESSANA TER
GREENACRES FL
33463-7267
US

IV. Provider business mailing address

4056 FOREST HILL BLVD # 1058
PALM SPRINGS FL
33406-5728
US

V. Phone/Fax

Practice location:
  • Phone: 386-405-7937
  • Fax:
Mailing address:
  • Phone: 561-786-9339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KISHA PUJALS
Title or Position: OWNER
Credential:
Phone: 386-405-7937