Healthcare Provider Details

I. General information

NPI: 1689063216
Provider Name (Legal Business Name): TALK OF THE TOWN SPEECH THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2015
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 WATER ST
ST AUGUSTINE FL
32084-2890
US

IV. Provider business mailing address

67 WATER ST
ST AUGUSTINE FL
32084-2890
US

V. Phone/Fax

Practice location:
  • Phone: 727-364-4024
  • Fax:
Mailing address:
  • Phone: 727-364-4024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY CREGAN
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 727-967-1036