Organization
ACCELL SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SPARKUHL (CEO)
(208) 461-1774
Entity
Organization
Contact information
Practice address
11404 W RADCLIFF ST, NAMPA, ID 83651-5049
(208) 461-1774
Mailing address
11404 W RADCLIFF ST, NAMPA, ID 83651-5049
(208) 461-1774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1802
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12125479
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
ID
01
—
SLP-1802
STATE OF IDAHO
ID
Enumeration date
07/10/2013
Last updated
07/10/2013
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