Healthcare Provider Details

I. General information

NPI: 1477322147
Provider Name (Legal Business Name): LITTLE TALKERS LITTLE EATERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2023
Last Update Date: 12/22/2023
Certification Date: 12/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 ROLLING RD
MILLER PLACE NY
11764-2223
US

IV. Provider business mailing address

51 ROLLING RD
MILLER PLACE NY
11764-2223
US

V. Phone/Fax

Practice location:
  • Phone: 631-488-7757
  • Fax:
Mailing address:
  • Phone: 631-488-7757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. KRISTI ELIZABETH SCHLESSINGER
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: SLP
Phone: 631-488-7757