Organization
SPARROW SPEECH STUDIO, LLC
Active
Other names
Sparrow Speech Studio
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE MICHELE THOMAS MS (SPEECH-LANGUAGE PATHOLOGIST)
(208) 340-1642
Entity
Organization
Contact information
Practice address
875 S VANGUARD WAY STE 200C, MERIDIAN, ID 83642-8540
(208) 340-1642
(949) 703-7079
Mailing address
1807 S SWAN AVE, MERIDIAN, ID 83642-6693
(208) 340-1642
(949) 703-7079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770063521
NPI TYPE 1 OF SINGLE MEMBER OF LLC
—
Enumeration date
07/20/2024
Last updated
07/20/2024
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