Cody Barber, MS SLP

Individual provider Active NPI Speech-Language Pathologist · Nampa, ID

NPI 1245814979 · NPPES record last updated May 9, 2021

Key facts

NPI
1245814979
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP-4732 (ID)
Practice address
2609 Sunnybrook Dr
Nampa, ID 83686-6332
Phone
(208) 467-7298
NPI assigned
May 9, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP-4732IDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-4732 ID Yes

Addresses

Primary practice location

2609 Sunnybrook Dr
Nampa, ID 83686-6332

Mailing address

6998 S Catfish Creek Ave
Meridian, ID 83642-7696
Phone (435) 899-8550

Other providers in Nampa, ID

All providers in Nampa, ID · Speech-Language Pathologist in Idaho

Sources for this page

Verify at the official NPI Registry.