Lauren Rose Addison, MS SLP | |
8620 W Emerald St Ste 100, Boise, ID 83704-4838 | |
(208) 898-1368 | |
Not Available |
Full Name | Lauren Rose Addison |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 8620 W Emerald St Ste 100, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013686054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP-5421 (Idaho) | Primary |
Provider Name | Great Therapy Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568886471 PECOS PAC ID: 8224421540 Enrollment ID: O20220209002480 |
Mailing Address | Practice Location Address |
---|---|
Lauren Rose Addison, MS SLP 101 11th Ave S # 155, Nampa, ID 83651-3918 Ph: (208) 466-1077 | Lauren Rose Addison, MS SLP 8620 W Emerald St Ste 100, Boise, ID 83704-4838 Ph: (208) 898-1368 |
Jennifer Dahms, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2995 N Cole Rd, Suite 130, Boise, ID 83704 Phone: 208-559-2348 Fax: 888-559-4660 | |
Kelli Shaw, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3115 N Sycamore Dr, Boise, ID 83703 Phone: 208-401-6401 | |
Christy Baltazor, M.S., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2127 W Overland Rd, Boise, ID 83705 Phone: 208-321-4898 | |
Megan Patrick, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2127 W Overland Rd, Boise, ID 83705 Phone: 208-321-4898 | |
Emily Chapman, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8860 W Evening Star Ln, Boise, ID 83709 Phone: 814-873-9144 | |
Kimberly Degraw, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706 Phone: 208-367-8282 |