| Speech And Language Clinic, Inc | |
|
1619 Curlew Dr Ste 5, Ammon, ID 83406-4719 | |
| (208) 535-1286 | |
| (208) 535-1291 |
| Full Name | Speech And Language Clinic, Inc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1619 Curlew Dr Ste 5, Ammon, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891953519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-1147 (Idaho) | Primary |
| Provider Name | Michelle Elkington Dahlberg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255353488 PECOS PAC ID: 1456747450 Enrollment ID: I20220419000943 |
| Mailing Address | Practice Location Address |
|---|---|
| Speech And Language Clinic, Inc 1275 South Highline Drive, Idaho Falls, ID 83401 Ph: (208) 604-1286 | Speech And Language Clinic, Inc 1619 Curlew Dr Ste 5, Ammon, ID 83406-4719 Ph: (208) 535-1286 |
Ms. Alyson Carol Elsethagen, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1619 Curlew Dr Ste 5, Ammon, ID 83406 Phone: 208-535-1286 Fax: 208-535-1291 | |
Jennie Reeves, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1619 Curlew Dr, Ammon, ID 83406 Phone: 208-535-1291 | |
Mrs. Nancy Lee Vollmer, M.A. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1619 Curlew Dr, Suite 5, Ammon, ID 83406 Phone: 208-535-1286 | |
Mrs. Haylie Ann Miller, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1619 Curlew Dr, Suite 5, Ammon, ID 83406 Phone: 208-535-1286 Fax: 208-535-1291 | |
Megan K Summers, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1619 Curlew Dr, Ste. 5, Ammon, ID 83406 Phone: 208-535-1286 Fax: 208-535-1291 | |
Mrs. Keri Sue James, M. A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1619 Curlew Dr, Suite 5, Ammon, ID 83406 Phone: 208-535-1286 | |
Mrs. Brenda Padron, MS, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 550 Amy Ln, Ammon, ID 83406 Phone: 208-221-1094 |