| Carly Yates, | |
| 190 E Bannock St, Boise, ID 83712-6241 | |
| (317) 385-8346 | |
| Not Available | 
| Full Name | Carly Yates | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 190 E Bannock St, Boise, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1861916918 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | TSLP-5463 (Idaho) | Primary | 
| Provider Name | Idaho Speech & Swallow Services | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1104416288 PECOS PAC ID: 9739588633 Enrollment ID: O20210526001019 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Carly Yates, 4667 W Hidden Springs Dr, Boise, ID 83714-9352 Ph: (317) 385-8346 | Carly Yates, 190 E Bannock St, Boise, ID 83712-6241 Ph: (317) 385-8346 | 
| 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: Not Enrolled in Medicare 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: Medicare Enrolled 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 |