Healthcare Provider Details

I. General information

NPI: 1629631858
Provider Name (Legal Business Name): TALK PLAY GROW
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2019
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 ROCKSIDE RD STE 201
PARMA OH
44134-2749
US

IV. Provider business mailing address

1440 ROCKSIDE RD STE 201
PARMA OH
44134-2749
US

V. Phone/Fax

Practice location:
  • Phone: 440-427-4433
  • Fax:
Mailing address:
  • Phone: 440-427-4433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH BRADY
Title or Position: OWNER
Credential: SLP
Phone: 216-394-4592