MEDICARE: LITTLE CHATTERBOX SPEECH AND FEEDING 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	SA7130	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447669973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE CHATTERBOX SPEECH AND FEEDING INC

Provider Business Mailing Address
First Line	:	9713 NAPOLI WOODS LN
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-9744
Country	:	US
Telephone Number	:	561-504-5774
Fax Number	:

Provider Business Practice Location Address
First Line	:	9713 NAPOLI WOODS LN
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33446-9744
Country	:	US
Telephone Number	:	561-504-5774
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DINA GROSSMAN
Credential	:
Telephone Number	:	561-504-5774

Provider Enumeration Date	:	08/08/2014
Last Update Date	:	08/08/2014

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Directions to “LITTLE CHATTERBOX SPEECH AND FEEDING INC ” Practice Location

Language	Start Address	Practice Location

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