MEDICARE: TALK TIME FOR KIDS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP005075	GA

General Provider Information

NPI Number	:	1033275771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALK TIME FOR KIDS, INC.

Provider Business Mailing Address
First Line	:	6255 BARFIELD RD NE STE 165
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4333
Country	:	US
Telephone Number	:	404-250-0807
Fax Number	:	404-250-0806

Provider Business Practice Location Address
First Line	:	6255 BARFIELD RD NE STE 165
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4333
Country	:	US
Telephone Number	:	404-250-0807
Fax Number	:	404-250-0806

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LYNLEY RITTER
Credential	:	CCC-SLP
Telephone Number	:	404-250-0807

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	08/22/2020

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