| Northwest Pediatric Speech Therapy, Llc | |
|
1130 W Hayden Ave Ste 103, Hayden, ID 83835-8720 | |
| (208) 660-9463 | |
| (208) 908-0044 |
| Full Name | Northwest Pediatric Speech Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1130 W Hayden Ave Ste 103, Hayden, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760008262 | NPI | - | NPPES |
| 1740793405 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Pediatric Speech Therapy, Llc 1130 W Hayden Ave Ste 103, Hayden, ID 83835-8720 Ph: (208) 660-9463 | Northwest Pediatric Speech Therapy, Llc 1130 W Hayden Ave Ste 103, Hayden, ID 83835-8720 Ph: (208) 660-9463 |
Holly B Alling, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8546 N Cloverleaf Dr, Hayden, ID 83835 Phone: 808-868-1416 | |
Cristina Villarreal, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2802 E Grand Tour Dr, Hayden, ID 83835 Phone: 208-503-6173 | |
Heather Penske, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1397 North Biztown Loop, Hayden, ID 83835 Phone: 208-762-3502 | |
Michelle C Coppess, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1401 W Bizztown Loop, Hayden, ID 83835 Phone: 208-762-3502 | |
Nicole Trumble, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8152 N Wayne Dr, Hayden, ID 83835 Phone: 509-215-0647 | |
Restore Teletherapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8546 N Cloverleaf Dr, Hayden, ID 83835 Phone: 208-471-4069 | |
Megan Leigh Mcmaster-stine, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1130 W Hayden Ave Ste 103, Hayden, ID 83835 Phone: 208-660-9463 Fax: 208-908-0044 |