MEDICARE: SMALL TALK SPEECH THERAPY, PLLC

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	:	1326903840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMALL TALK SPEECH THERAPY, PLLC

Provider Business Mailing Address
First Line	:	13502 VISTA DEL CEDRO
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2235
Country	:	US
Telephone Number	:	315-679-9607
Fax Number	:

Provider Business Practice Location Address
First Line	:	13502 VISTA DEL CEDRO
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2235
Country	:	US
Telephone Number	:	315-679-9607
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MRS. SAWSAN JAMAL
Credential	:	M.S., CCC-SLP
Telephone Number	:	315-679-9607

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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Directions to “SMALL TALK SPEECH THERAPY, PLLC ” Practice Location

Language	Start Address	Practice Location

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