Carrie A Kyrias, MS, CCC-SLP

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

NPI 1306125489 · NPPES record last updated Aug 10, 2022

Key facts

NPI
1306125489
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP-2298 (ID)
Practice address
303 Mather Rd
McCall, ID 83638-4800
Phone
(208) 572-9040
Fax
(208) 576-6941
NPI assigned
Aug 8, 2011
Sex
Female
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-2298IDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-2298 ID Yes

Addresses

Primary practice location

303 Mather Rd
McCall, ID 83638-4800

Mailing address

411 Deinhard LN Ste F208
McCall, ID 83638-4800
Phone (208) 572-9040

Other providers in McCall, ID

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

Sources for this page

Verify at the official NPI Registry.