| Casey's Specialty Speech, Llc | |
|
611 Wilson Ave Ste 6c, Pocatello, ID 83201-5046 | |
| (208) 242-7377 | |
| (208) 417-0956 |
| Full Name | Casey's Specialty Speech, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 611 Wilson Ave Ste 6c, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528624673 | NPI | - | NPPES |
| 1528624673 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Casey Ulrich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073959441 PECOS PAC ID: 1557670932 Enrollment ID: I20151026002311 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey's Specialty Speech, Llc 13413 N Moonglow Ln, Pocatello, ID 83202-5122 Ph: (208) 242-7377 | Casey's Specialty Speech, Llc 611 Wilson Ave Ste 6c, Pocatello, ID 83201-5046 Ph: (208) 242-7377 |
Mrs. Molly Lee Hill, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 611 Wilson Ave Ste 6c, Pocatello, ID 83201 Phone: 208-530-0872 | |
Beth Agres, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1001 N 7th Ave, Pocatello, ID 83201 Phone: 208-239-1490 | |
Kami Anne Westover, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1110 Call Creek Dr Ste 4b, Pocatello, ID 83201 Phone: 208-233-4660 Fax: 208-233-4262 | |
Cheryl Zaremba, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 896 Lucille Ave, Pocatello, ID 83201 Phone: 208-234-7302 | |
Mr. James Ellis Williams Ii, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 527 Memorial Dr, Pocatello, ID 83201 Phone: 801-419-8096 | |
Mrs. Heather L. Rogers, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1110 Call Creek Dr Ste 7, Pocatello, ID 83201 Phone: 208-233-4660 Fax: 208-233-4262 | |
Amanda Taylor, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1071 Renee Ave, Pocatello, ID 83201 Phone: 208-233-1411 |