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Organization

KIDSPEAK LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. COLLEEN MATTHEWS MS, CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(208) 297-6270
Entity
Organization

Contact information

Practice address
525B MAIN ST, KUNA, ID 83634
(208) 297-6270
Mailing address
5297 N LAWSONIA PL, BOISE, ID 83713-1362
(208) 297-6270

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT-1038
ID
235Z00000X
Speech-Language Pathologist
Primary
SLP-2284
ID

Other

Enumeration date
05/13/2016
Last updated
05/13/2016
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