Stacie Jo Beck, MS. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Boise, ID
NPI 1265740799 · NPPES record last updated Sep 17, 2010
Key facts
- NPI
- 1265740799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP-1683 (ID)
- Practice address
- 3171 S Bown Way
Boise, ID 83706-5665 - Phone
- (208) 433-9152
- NPI assigned
- Sep 17, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-1683 | ID | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-1683 | ID | Yes |
Addresses
Primary practice location
3171 S Bown Way
Boise, ID 83706-5665
Mailing address
3171 S Bown Way
Boise, ID 83706-5665
Other providers in Boise, ID
- Alison M Beck
- Crista Beck
- Karen M. Marie Beck
- Karole Lynn Beck
- Mikayla Renae Beck
- Taylor N Beck
- Torri Lynn Beck
- Brett Becker
- Holly Becker
- Kathryn Tatiana Beckman
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 Sep 17, 2010. 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.