# CELEBRATION SPEECH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053729434
- **Authorized official:** MS. VICKI N HULET M.S.,CCC-SLP (OWNER/PRESIDENT)
- **Authorized official phone:** (208) 520-2242

## Contact information

- **Practice address:** 3715 WOODKING DR, IDAHO FALLS, ID 83404-4720
- **Practice address phone:** (208) 520-2242
- **Practice address fax:** (208) 529-2022
- **Mailing address:** 559 MASTERS DR, IDAHO FALLS, ID 83401-3118
- **Mailing address phone:** (208) 520-2242
- **Mailing address fax:** (208) 529-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | SLP-1461 | ID | Yes |

## Other

- **Enumeration date:** 07/29/2014
- **Last updated:** 07/29/2014