Casey'S Specialty Speech, Llc

LBN: Casey'S Specialty Speech, Llc
Casey'S Specialty Speech, Llc is an health care organization with primary practice located at 611 Wilson Ave Ste 6C , Pocatello ID 83201-5046. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Casey'S Specialty Speech, Llc can be contacted via phone (208) 242-7377, or through Ulrich, Casey via phone (208) 242-7377.

Contact Information

Primary practice address
611 Wilson Ave Ste 6C Pocatello ID 83201-5046
Phone: (208) 242-7377
Fax: (208) 417-0956
Website:
Map and Directions
Authorized official contact:
Name: Ulrich, Casey M.S., CCC-SLP
Phone: (208) 242-7377

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1528624673
LBN Legal business name Casey'S Specialty Speech, Llc
DBA Doing business as
Authorized official Ulrich, Casey M.S., CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2019
Last updated May 17th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528624673 NPPES
Idaho MEDICAID 1528624673

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