| Star Speech And Occupational Therapy Llc | |
|
12222 W Bridger Bay Dr, Star, ID 83669-5081 | |
| (208) 391-2773 | |
| (855) 255-0774 |
| Full Name | Star Speech And Occupational Therapy Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 12222 W Bridger Bay Dr, Star, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669917571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP2395 (Idaho) | Primary |
| Provider Name | Brooke N Mcbride |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730694738 PECOS PAC ID: 1355774340 Enrollment ID: I20191205000591 |
| Provider Name | Meara A Baker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1518032853 PECOS PAC ID: 3971932773 Enrollment ID: I20200513000657 |
| Provider Name | Macaile Hutt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043689474 PECOS PAC ID: 9931530623 Enrollment ID: I20200513001341 |
| Provider Name | Hannah R Golden |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083196380 PECOS PAC ID: 5193190130 Enrollment ID: I20230405001675 |
| Provider Name | Katherine M Sweeney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619301496 PECOS PAC ID: 0042677338 Enrollment ID: I20230531003543 |
| Mailing Address | Practice Location Address |
|---|---|
| Star Speech And Occupational Therapy Llc 12124 W Feramorz Ln, Star, ID 83669-5165 Ph: (208) 391-2773 | Star Speech And Occupational Therapy Llc 12222 W Bridger Bay Dr, Star, ID 83669-5081 Ph: (208) 391-2773 |
Jessica Myers, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12222 W Bridger Bay Dr, Star, ID 83669 Phone: 208-391-2773 | |
Marian Therese Peloquin, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10979 W Collina Vista Dr, Star, ID 83669 Phone: 805-390-8404 | |
Kourtney Schaffner, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7485 Southern Vista Ct, Star, ID 83669 Phone: 208-608-4985 | |
Angela M Abbott, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 79 N Plummer Rd, Star, ID 83669 Phone: 208-391-2773 | |
Paige Elizabeth Casey, M.S Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11284 W Shortcreek Ct, Star, ID 83669 Phone: 714-932-0633 | |
Andrea Snow, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12222 W Bridger Bay Dr, Star, ID 83669 Phone: 208-391-2773 Fax: 855-255-0774 | |
James Everett Collings, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12222 W Bridger Bay Dr, Star, ID 83669 Phone: 208-391-2773 |