Boise Speech and Hearing Clinic
Organization Active NPI Speech-Language Pathologist · Boise, ID
NPI 1104099589 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1104099589
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP-1320 (ID)
- Legal business name
- BOISE SPEECH AND HEARING CLINIC
- Practice address
- 13176 W Persimmon LN
Suite 120
Boise, ID 83713-1986 - Phone
- (208) 376-3591
- Fax
- (208) 376-3591
- NPI assigned
- Apr 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Alesia J. Hitchcock, M.S.
- Title
- Speech-Language Pathologist
- Phone
- (208) 376-3591
National Provider Directory
Locations
13176 W Persimmon Ln
Ste 120
Boise, ID 83713
Phone (208) 376-3591
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | SLP-1320 | ID | Yes |
Addresses
Primary practice location
13176 W Persimmon LN
Suite 120
Boise, ID 83713-1986
Mailing address
13176 W Persimmon LN
Suite 120
Boise, ID 83713-1986
Phone (208) 376-3591
Other providers in Boise, ID
- Boise Services Group, Inc.
- Boise SH, LLC
- Boise Skin Clinic PLLC
- Boise Smiles Youth Dentistry, PLLC
- Boise SNF Operations, LLC
- Boise Speech Tree, LLC
- Boise Spine Surgery P.a.
- Boise Sports Chiropractic Clinic
- Boise State Health Center
- Boise State University
All providers in Boise, ID · Speech-Language Pathologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.