=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477466506
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SMALL TALK SPEECH AND LANGUAGE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2026
-----------------------------------------------------
Last Update Date | 09/28/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2105 DEVEREUX CIR
-----------------------------------------------------
City | VESTAVIA
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35243-2563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-289-3572
-----------------------------------------------------
Fax | 205-641-8733
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3753 N WOODRIDGE RD
-----------------------------------------------------
City | MOUNTAIN BRK
-----------------------------------------------------
State | AL
-----------------------------------------------------
Zip | 35223-2111
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 770-289-3572
-----------------------------------------------------
Fax | 205-641-8733
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SPEECH LANGUAGE PATHOLOGIST
-----------------------------------------------------
Name | EMMA KATHERINE LEE
-----------------------------------------------------
Credential | M.ED., CCC-SLP
-----------------------------------------------------
Telephone | 770-289-3572
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------