NPI 1023401825

Kelli Shaw

Practitioner Speech-Language Pathologist Boise, ID

Practice location

Address: 3115 N Sycamore Dr, Boise, ID 83703-4129
Phone: (208) 401-6401
Mailing address: 613 N Hillview Dr, Boise, ID 83712-8120

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence TSLP-2657 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1023401825
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2015
Record last updated: 18 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.