Tami Lynn Dial, MA
Individual provider Active NPI Speech-Language Pathologist · Moscow, ID
NPI 1487985198 · NPPES record last updated Jan 22, 2010
Key facts
- NPI
- 1487985198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP1447 (ID)
- Practice address
- 640 N Eisenhower St
Moscow, ID 83843-9588 - Phone
- (208) 882-6560
- NPI assigned
- Jan 19, 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1447 | ID | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP1447 | ID | Yes |
Addresses
Primary practice location
640 N Eisenhower St
Moscow, ID 83843-9588
Mailing address
640 N Eisehower Street
Moscow, ID 83843
Phone (208) 882-6560
Other providers in Moscow, ID
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- Susan A Derry
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- Carley Shawn Devore
- Jessica Dickson
- Amanda Dienno
- Patricia Ann Dillon
- Claire Ann Dines
- Samantha Dingman
All providers in Moscow, 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 Jan 22, 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.