| Boise Speech Tree, Llc | |
|
1015 W Hays St Ste 104, Boise, ID 83702-5412 | |
| (208) 938-4748 | |
| (208) 938-1710 |
| Full Name | Boise Speech Tree, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1015 W Hays St Ste 104, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689168445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-1353 (Idaho) | Primary |
| Provider Name | Sharon E Morrison-doke |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881723377 PECOS PAC ID: 9830336577 Enrollment ID: I20130516000329 |
| Provider Name | Deborah A Waite |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588962674 PECOS PAC ID: 5395983886 Enrollment ID: I20130522000392 |
| Provider Name | Laura E Rogers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760858716 PECOS PAC ID: 1355688482 Enrollment ID: I20190129000533 |
| Provider Name | Abigail I Klimkoski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124773312 PECOS PAC ID: 2062884414 Enrollment ID: I20230210001353 |
| Provider Name | Kylie Michelle Bull |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063935815 PECOS PAC ID: 3971978909 Enrollment ID: I20230531001086 |
| Provider Name | Elizabeth Ann Shebley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548982986 PECOS PAC ID: 1355798802 Enrollment ID: I20231106002522 |
| Provider Name | Brittany Helen Dunnum |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942841796 PECOS PAC ID: 2769839158 Enrollment ID: I20231107000716 |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Speech Tree, Llc 935 E Winding Creek Dr Ste 120, Eagle, ID 83616-7242 Ph: (208) 938-4748 | Boise Speech Tree, Llc 1015 W Hays St Ste 104, Boise, ID 83702-5412 Ph: (208) 938-4748 |
Jennifer Dahms, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2995 N Cole Rd, Suite 130, Boise, ID 83704 Phone: 208-559-2348 Fax: 888-559-4660 | |
Lauren Rose Addison, M.S. SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 8620 W Emerald St Ste 100, Boise, ID 83704 Phone: 208-898-1368 | |
Kelli Shaw, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3115 N Sycamore Dr, Boise, ID 83703 Phone: 208-401-6401 | |
Christy Baltazor, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2127 W Overland Rd, Boise, ID 83705 Phone: 208-321-4898 | |
Megan Patrick, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2127 W Overland Rd, Boise, ID 83705 Phone: 208-321-4898 | |
Emily Chapman, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8860 W Evening Star Ln, Boise, ID 83709 Phone: 814-873-9144 | |
Kimberly Degraw, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706 Phone: 208-367-8282 |