Burrell, Tara T
Burrell, Tara T is an sole proprietor health care provider with primary practice located at 1110 Call Creek Dr Ste 7 , Pocatello ID 83201-3072. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Burrell, Tara T can be contacted via phone (208) 233-4660.Contact Information
Primary practice address
1110 Call Creek Dr Ste 7
Pocatello ID 83201-3072
Phone: (208) 233-4660
Fax: (208) 233-4262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-1741 | Idaho |
Profile Details
| NPI number | 1922260686 |
|---|---|
| LBN Legal business name | Burrell, Tara T |
| Credentials | M.S, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2008 |
| Last updated | Jun 25th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922260686 | NPPES |
| Idaho | Other | 12118744 | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
| Idaho | Other | 1741 | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
Popular Providers
-
Knudson, Sarah
921 S. 8Th Ave Mail Stop 8116, Pocatello ID 83209-8116 -
Seikel, John Anthony
638 E. Dunn St. Idaho State University, Pocatello ID 83201-8116 -
Huff, Serena Dawn
1110 Call Creek Dr Ste 7 , Pocatello ID 83201-3072 -
Willer, Janene A
Idaho State University 921 S 8Th Ave Stop 8116, Pocatello ID 83209-0001 -
Rogers, Heather L.
1110 Call Creek Dr Ste 7 , Pocatello ID 83201-3072 -
Martin, Melanie Katharine
1110 Call Creek Dr Ste 4B , Pocatello ID 83201-3072 -
Loftin, Joni Grey
Idaho State University 921 S 8Th Ave Stop 8116, Pocatello ID 83209-0001 -
Zaremba, Cheryl
896 Lucille Ave , Pocatello ID 83201-2618