| Casey Ulrich, MSCCC-SLP | |
| 13413 N Moonglow Ln, Chubbuck, ID 83202-5122 | |
| (208) 409-1188 | |
| Not Available | 
| Full Name | Casey Ulrich | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 13413 N Moonglow Ln, Chubbuck, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073959441 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SP20747 (California) | Secondary | 
| 235Z00000X | Speech-language Pathologist | SLP-2131 (Idaho) | Primary | 
| Provider Name | Caseys Specialty Speech Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1528624673 PECOS PAC ID: 0547649964 Enrollment ID: O20220615001276 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Casey Ulrich, MSCCC-SLP 13413 N Moonglow Ln, Chubbuck, ID 83202-5122 Ph: (208) 409-1188 | Casey Ulrich, MSCCC-SLP 13413 N Moonglow Ln, Chubbuck, ID 83202-5122 Ph: (208) 409-1188 | 
| Brandy Lynn Gilea, MS-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202 Phone: 208-237-9833 Fax: 208-237-1800 | |
| Krystal L Schiess, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1295 Alpine Ave, Chubbuck, ID 83202 Phone: 208-232-1447 | |
| Amber Romriell, M.S. CCC- SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 W Burnside Ave Ste D, Chubbuck, ID 83202 Phone: 208-904-1112 Fax: 866-818-2688 | |
| Sabrina Bunney, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1057 Stripes Rd, Chubbuck, ID 83202 Phone: 208-406-7733 | |
| Taylor Anna Anderson, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 W Burnside Ave Ste D, Chubbuck, ID 83202 Phone: 208-904-1112 | |
| Mrs. Laila Ann Oakes, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 240 W Burnside Ave Ste D, Chubbuck, ID 83202 Phone: 208-904-1112 |