NPI Code Details Logo

NPI 1689063216

NPI 1689063216 : TALK OF THE TOWN SPEECH THERAPY LLC : ST AUGUSTINE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689063216
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TALK OF THE TOWN SPEECH THERAPY LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    01/20/2015
-----------------------------------------------------
    Last Update Date     |    09/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    67 WATER ST 
-----------------------------------------------------
    City                 |    ST AUGUSTINE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32084-2890
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    727-364-4024
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    67 WATER ST 
-----------------------------------------------------
    City                 |    ST AUGUSTINE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32084-2890
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    727-364-4024
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    SPEECH LANGUAGE PATHOLOGIST
-----------------------------------------------------
    Name                 |     ASHLEY  CREGAN 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    727-967-1036
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    235Z00000X
-----------------------------------------------------
    Taxonomy Name        |    Speech-Language Pathologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.