MEDICARE: TALK OUT LOUD LLC

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

General Provider Information

NPI Number	:	1275003758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALK OUT LOUD LLC

Provider Business Mailing Address
First Line	:	2384 MILLBROOK CT
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-3143
Country	:	US
Telephone Number	:	734-751-6456
Fax Number	:

Provider Business Practice Location Address
First Line	:	2384 MILLBROOK CT
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-3143
Country	:	US
Telephone Number	:	734-751-6456
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	HETAL PATEL
Credential	:	MA.CCC-SLP
Telephone Number	:	734-751-6456

Provider Enumeration Date	:	11/28/2018
Last Update Date	:	11/28/2018

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Directions to “TALK OUT LOUD LLC ” Practice Location

Language	Start Address	Practice Location

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