Organization
MODERN SPEECH AND MYOFUNCTIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON SCHMIDT (SPEECH PATHOLOGIST)
(208) 918-1466
Entity
Organization
Contact information
Practice address
1036 E IRON EAGLE DR STE 108, EAGLE, ID 83616-6558
(208) 918-1466
Mailing address
1036 E IRON EAGLE DR STE 108, EAGLE, ID 83616-6558
(208) 918-1466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/07/2025
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