Marcia Kortum Salovich, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP1097 Issued in ID

Practice address

1001 S Hilton St
Boise, ID 83705-1925

Phone

(208) 433-5315

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1912113648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 E BOISE AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837065409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S HILTON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837051925",
            "telephone_number": "208-433-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOVICH",
        "first_name": "MARCIA",
        "middle_name": "KORTUM",
        "credential": "MS  CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP1097",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "ASHA10005310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Sallaway
• Emmitt Sallee
• Jessica Sallstrom, DO
• Salmon River Serenity Wellness PLLC
• Clay Salmon, LCSW
• James Armstrong Saltsman III, M.D., M.P.H.
• Salty Ice LLP
• Salus Counseling, LLC
• Abagail Salvesen
• Carmen Salyer, FNP-C

• Speech-Language Pathologist in Boise, ID
• Providers in Boise, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.