MEDICARE: CHIT CHAT 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

General Provider Information

NPI Number	:	1790548378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIT CHAT SPEECH THERAPY

Provider Business Mailing Address
First Line	:	4168 LARKWOOD AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-3155
Country	:	US
Telephone Number	:	702-366-4414
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 S RAINBOW BLVD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-6214
Country	:	US
Telephone Number	:	725-290-2915
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YANITZA MARMOLEJOS VASEUR
Credential	:
Telephone Number	:	725-290-2915

Provider Enumeration Date	:	02/05/2024
Last Update Date	:	03/31/2025

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Directions to “CHIT CHAT SPEECH THERAPY ” Practice Location

Language	Start Address	Practice Location

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