| Clear Source Therapy And Clinical Resource Center Llc | |
|
392 Falls Ave, Twin Falls, ID 83301-3373 | |
| (208) 749-3475 | |
| (208) 450-2408 |
| Full Name | Clear Source Therapy And Clinical Resource Center Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 392 Falls Ave, Twin Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205571668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Ezekiel Hans Kelsey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861686032 PECOS PAC ID: 3476606815 Enrollment ID: I20090731000560 |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Source Therapy And Clinical Resource Center Llc 392 Falls Ave, Twin Falls, ID 83301-3373 Ph: (208) 749-3475 | Clear Source Therapy And Clinical Resource Center Llc 392 Falls Ave, Twin Falls, ID 83301-3373 Ph: (208) 749-3475 |
Ms. Melinda Louise Harmer, MA CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1201 Falls Ave East, Suite 36, Twin Falls, ID 83301 Phone: 208-734-6700 Fax: 208-734-6795 | |
Gina Griffiths Piper, PHD CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301 Phone: 541-381-1100 | |
Joy Oquinn Hoffman, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2550 Addison Ave E Ste D, Twin Falls, ID 83301 Phone: 208-814-7950 | |
Julie J Gibbons, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 | |
Stutzman Speech And Language Services, Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3785 N 2538 E, Twin Falls, ID 83301 Phone: 208-420-2808 | |
Ms. Caroline Amanda Layden, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 625 Pole Line Rd W Ste 2b, Twin Falls, ID 83301 Phone: 813-390-0649 | |
Autumn Coombs, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 254 River Vista Pl, Twin Falls, ID 83301 Phone: 208-734-7333 Fax: 208-734-8350 |