Amplified Speech and Language LLC
Organization Active NPI Speech-Language Pathologist · Boise, ID
NPI 1235915745 · NPPES record last updated Aug 31, 2023
Key facts
- NPI
- 1235915745
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- AMPLIFIED SPEECH AND LANGUAGE LLC
- Practice address
- 9209 W Wakefield St
Boise, ID 83714-6708 - Phone
- (714) 501-0557
- NPI assigned
- Aug 31, 2023
- Organization subpart
- No
Authorized official
- Name
- Amanda Dykstra, SPL
- Title
- Owner
- Phone
- (714) 501-0557
Practitioners 1
-
Amanda Dykstra, M.S., CCC-SLP
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
9209 W Wakefield St
Boise, ID 83714-6708
Mailing address
9209 W Wakefield St
Boise, ID 83714-6708
Phone (714) 501-0557
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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 Aug 31, 2023. 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.