Treasure Valley Speech And Language, LLC
Speech-Language Pathologist, in Boise, ID. Organization (NPI-2).
NPI number1154477693
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1154477693
- Entity type
- Organization (NPI-2)
- Legal business name
- Treasure Valley Speech And Language, LLC
- Organization subpart
- No
- Enumeration date
- Jan 26, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP-1314 | ID | Yes |
Practice location
1203 S Five Mile RdBoise, ID 83709-1304
Phone 208-672-8255
Mailing address
1203 S Five Mile RdBoise, ID 83709-1304
Phone 208-672-8255
Authorized official
Darcey Kennedy
Owner
2086728255
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