NPI 1053626093

Misty Richardson, MSCCCSLP

Practitioner Speech-Language Pathologist Idaho Falls, ID

Practice location

Address: 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237
Phone: (208) 535-1286
Mailing address: 4230 Wanda St, Ammon, ID 83406-6875

Registered specialties (2)

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Other Speech-Language Pathologist providers in Idaho →

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP-2177 (ID)

Registry record

NPI: 1053626093
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Aug 2010
Record last updated: 9 May 2025

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.