Restore Teletherapy, LLC

Organization Active NPI Speech-Language Pathologist · Hayden, ID

NPI 1699388017 · NPPES record last updated Aug 25, 2020

Key facts

NPI
1699388017
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
RESTORE TELETHERAPY, LLC
Practice address
8546 N Cloverleaf Dr
Hayden, ID 83835-8259
Phone
(208) 471-4069
NPI assigned
Aug 25, 2020
Organization subpart
No

Authorized official

Name
Holly Briana Alling, M.A., CCC-SLP
Title
Speech-Language Pathologist
Phone
(208) 471-4069

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

8546 N Cloverleaf Dr
Hayden, ID 83835-8259

Mailing address

PO Box 3567
Hayden, ID 83835-3567
Phone (208) 471-4069

Other providers in Hayden, ID

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

Sources for this page

Verify at the official NPI Registry.