| Deborah Anne Waite, MACCC-SLP | |
|
935 E Winding Creek Dr, Suite 120, Eagle, ID 83616-7240 | |
| (208) 938-4748 | |
| (208) 938-1710 |
| Full Name | Deborah Anne Waite |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 935 E Winding Creek Dr, Eagle, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588962674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-1993 (Idaho) | Primary |
| Provider Name | Speech Tree Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316087323 PECOS PAC ID: 3678710308 Enrollment ID: O20130516000296 |
| Provider Name | Boise Speech Tree Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689168445 PECOS PAC ID: 1557782554 Enrollment ID: O20200529001208 |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Anne Waite, MACCC-SLP 935 E Winding Creek Dr, Suite 120, Eagle, ID 83616-7240 Ph: (208) 938-4748 | Deborah Anne Waite, MACCC-SLP 935 E Winding Creek Dr, Suite 120, Eagle, ID 83616-7240 Ph: (208) 938-4748 |
Mrs. Janet Houston Casabonne, M.S.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 935 E Winding Creek Dr, Suite 120, Eagle, ID 83616 Phone: 208-938-4748 Fax: 208-938-1710 | |
Miranda Sullivan, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 449 S Fitness Pl, Eagle, ID 83616 Phone: 208-957-6301 | |
Abigail Klimkoski, M.S. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 935 E Winding Creek Dr Ste 120, Eagle, ID 83616 Phone: 208-938-4748 | |
Ashley Wright, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 449 S Fitness Pl, Eagle, ID 83616 Phone: 208-957-6301 | |
Nicole Clover, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 449 S Fitness Pl, Eagle, ID 83616 Phone: 208-957-6301 | |
Danielle Marie Wallner, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 77 N Fisher Park Way, Eagle, ID 83616 Phone: 208-378-5430 | |
Katie Gray, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 935 E Winding Creek Drive, Suite 120, Eagle, ID 83616 Phone: 208-938-4748 Fax: 208-938-1710 |