Modern Speech and Myofunctional Therapy, LLC

NPI #1780413294 in Eagle, Idaho

Provider Information

NPI Number
1780413294
Entity Type
Organization
Organization Name
Modern Speech and Myofunctional Therapy, LLC
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Aug 1, 2024
Last Updated
Aug 7, 2025

Practice Location

Address
1036 E IRON EAGLE DR STE 108
City
Eagle
State
Idaho
ZIP Code
83616-6558
Phone
(208) 918-1466

Authorized Official

Name
ALLISON SCHMIDT
Title
SPEECH PATHOLOGIST
Phone
(208) 918-1466

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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