Organization
CLEAR SOURCE THERAPY AND CLINICAL RESOURCE CENTER LLC
Active
Other names
Clear Talk Speech Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EZEKIEL KELSEY M.S., CCC-SLP (OWNER)
(208) 320-5686
Entity
Organization
Contact information
Practice address
392 FALLS AVE, TWIN FALLS, ID 83301-3373
(208) 749-3475
(208) 450-2408
Mailing address
392 FALLS AVE, TWIN FALLS, ID 83301-3373
(208) 749-3475
(208) 450-2408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/30/2022
Last updated
03/15/2023
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