MEDICARE: TIME TO TALK LLC

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	:	1902442866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIME TO TALK LLC

Provider Business Mailing Address
First Line	:	7405 SUMMER CREST LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6005
Country	:	US
Telephone Number	:	702-336-9553
Fax Number	:

Provider Business Practice Location Address
First Line	:	7405 SUMMER CREST LN
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89129-6005
Country	:	US
Telephone Number	:	702-336-9553
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BETH ANNE VASQUEZ
Credential	:	MS
Telephone Number	:	702-336-9553

Provider Enumeration Date	:	11/25/2019
Last Update Date	:	12/18/2019

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Directions to “TIME TO TALK LLC ” Practice Location

Language	Start Address	Practice Location

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