Provider Demographics
NPI:1679797450
Name:TALKABOUT INC
Entity type:Organization
Organization Name:TALKABOUT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF TALKABOUT INC AND OWNE
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LYLE
Authorized Official - Last Name:JAMISON
Authorized Official - Suffix:
Authorized Official - Credentials:CCC SLP
Authorized Official - Phone:907-452-4517
Mailing Address - Street 1:1327 KALAKAKET STREET
Mailing Address - Street 2:
Mailing Address - City:FARIBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99709-4917
Mailing Address - Country:US
Mailing Address - Phone:907-452-4517
Mailing Address - Fax:907-452-4263
Practice Address - Street 1:1327 KALAKAKET STREET
Practice Address - Street 2:
Practice Address - City:FARIBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-4917
Practice Address - Country:US
Practice Address - Phone:907-452-4517
Practice Address - Fax:907-452-4263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK296770225X00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1021145Medicaid