Organization
STAR SPEECH AND OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEARA BAKER MA, CCC-SLP (OWNER, SPEECH-LANGAUGE PATHOLOGIST)
(208) 391-2773
Entity
Organization
Contact information
Practice address
12222 W BRIDGER BAY DR, STAR, ID 83669-5081
(208) 391-2773
(855) 255-0774
Mailing address
12124 W FERAMORZ LN, STAR, ID 83669-5165
(208) 391-2773
(855) 255-0774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2395
ID
Other
Enumeration date
12/31/2016
Last updated
05/12/2020
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