Idaho Pediatric Speech and Language, LLC

NPI #1528723137 in Meridian, Idaho

Provider Information

NPI Number
1528723137
Entity Type
Organization
Organization Name
Idaho Pediatric Speech and Language, LLC
Primary Specialty
Clinic/Center - Hearing and Speech
Enumeration Date
Nov 8, 2021
Last Updated
Nov 19, 2021

Practice Location

Address
697 N KEAGAN WAY
State
Idaho
ZIP Code
83642-5513
Phone
(208) 477-1789

Authorized Official

Name
KATELYN SMITH, CCC-SLP
Title
SPEECH-LANGUAGE PATHOLOGIST
Phone
(208) 691-5785

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Hearing and SpeechHearing and Speech

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