| Marla K Ambrose, SLP | |
| 1812 N Midland Blvd, Nampa, ID 83651-1747 | |
| (208) 442-2525 | |
| (208) 442-2505 | 
| Full Name | Marla K Ambrose | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 1812 N Midland Blvd, Nampa, Idaho | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689828907 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | TSLP-1771 (Idaho) | Secondary | 
| 235Z00000X | Speech-language Pathologist | SLP-1940 (Idaho) | Primary | 
| Provider Name | Chatterton Speech Therapy Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1932501558 PECOS PAC ID: 9234350182 Enrollment ID: O20141020000094 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Marla K Ambrose, SLP 7052 S Colwood Pl, Boise, ID 83709-7373 Ph: (208) 412-9184 | Marla K Ambrose, SLP 1812 N Midland Blvd, Nampa, ID 83651-1747 Ph: (208) 442-2525 | 
| Kailey Rose Sheldon,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 320 11th Ave S, Nampa, ID 83651 Phone: 208-466-1077 | |
| Audrey Quenzer, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 207 W Georgia Ave Ste 170, Nampa, ID 83686 Phone: 208-467-1069 Fax: 208-467-1462 | |
| Erin Westfall, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 168 Mcclure Avenue, Nampa, ID 83651 Phone: 208-466-1077 | |
| Rachel Nish,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 11th Ave S # 155, Nampa, ID 83651 Phone: 208-466-1077 Fax: 208-467-2201 | |
| Stacey Carrothers,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 11th Ave S Ste 155, Nampa, ID 83651 Phone: 208-466-1077 | |
| Mrs. April E. Lyon, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2830 S Bluegrass Dr, Nampa, ID 83686 Phone: 208-461-4989 | |
| Aleece Ban-jo,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 320 11th Ave S, Nampa, ID 83651 Phone: 208-466-1077 |