MEDICARE: SMALL TALK SPEECH, LANGUAGE, & SOCIAL SKILLS, 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NA	OTHER		NOT YET ASSISNED

General Provider Information

NPI Number	:	1578490132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMALL TALK SPEECH, LANGUAGE, & SOCIAL SKILLS, PLLC

Provider Business Mailing Address
First Line	:	5611 LOBELLO DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-6405
Country	:	US
Telephone Number	:	903-241-1101
Fax Number	:

Provider Business Practice Location Address
First Line	:	5611 LOBELLO DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75229-6405
Country	:	US
Telephone Number	:	903-241-1101
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	SARAH HENDERSON
Credential	:	MS, CCC-SLP
Telephone Number	:	903-241-1101

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “SMALL TALK SPEECH, LANGUAGE, & SOCIAL SKILLS, PLLC ” Practice Location

Language	Start Address	Practice Location

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