Organization
TREASURE VALLEY SPEECH AND LANGUAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARCEY KENNEDY CCC-SLP (OWNER)
(208) 672-8255
Entity
Organization
Contact information
Practice address
1203 S FIVE MILE RD, BOISE, ID 83709-1304
(208) 672-8255
Mailing address
1203 S FIVE MILE RD, BOISE, ID 83709-1304
(208) 672-8255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1314
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SPL17
BLUE CROSS OF IDAHO
ID
Enumeration date
01/26/2007
Last updated
08/22/2020
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