MEDICARE: BABY TALK, PC

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	58000040A	IN

General Provider Information

NPI Number	:	1124292305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BABY TALK, PC

Provider Business Mailing Address
First Line	:	4365 BRAEMAR DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-3688
Country	:	US
Telephone Number	:	317-698-9020
Fax Number	:	317-489-4361

Provider Business Practice Location Address
First Line	:	4365 BRAEMAR DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46254-3688
Country	:	US
Telephone Number	:	317-698-9020
Fax Number	:	317-489-4361

Authorized Official
Title or Position	:	PRESIDENT/SPEECH-LANGUAGE PATHOLOGI
Name	:	MRS. ANGELIC MARIE GISCLAIR-HADAD
Credential	:	M.A. CCC-SLP
Telephone Number	:	317-698-9020

Provider Enumeration Date	:	04/17/2008
Last Update Date	:	04/17/2008

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Directions to “BABY TALK, PC ” Practice Location

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