MEDICARE: TALK-A-LOT SPEECH THERAPY

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	146005622	IL

General Provider Information

NPI Number	:	1619461191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALK-A-LOT SPEECH THERAPY

Provider Business Mailing Address
First Line	:	485 MEREDITH DR
Second Line	:
City	:	SHERMAN
State	:	IL
Zip	:	62684-8180
Country	:	US
Telephone Number	:	217-416-2203
Fax Number	:	855-674-0099

Provider Business Practice Location Address
First Line	:	1309 S 9TH ST
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62703-2526
Country	:	US
Telephone Number	:	217-416-2203
Fax Number	:	855-674-0099

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. JILL EDWARDS
Credential	:	MS, CCC-SLP
Telephone Number	:	217-416-2203

Provider Enumeration Date	:	06/19/2018
Last Update Date	:	06/19/2018

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Directions to “TALK-A-LOT SPEECH THERAPY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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