Kelli Shaw

Speech-Language Pathologist · Boise, ID

Individual Active NPI

NPI number 1023401825

Practice location

3115 N Sycamore Dr
Boise, ID 83703-4129
Phone
(208) 401-6401

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NPI record

NPI
1023401825
Entity type
Individual (Type 1)
Enumeration date
March 18, 2015
Last updated
March 18, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X TSLP-2657 ID

Mailing address

613 N Hillview Dr
Boise, ID 83712-8120
Phone
(208) 353-7776

About Kelli Shaw

Kelli Shaw is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 3115 N Sycamore Dr, Boise, ID 83703-4129. The NPI number 1023401825 was assigned on March 18, 2015 and the record was last updated on March 18, 2015.

Kelli Shaw lists a license in the registry: #TSLP-2657 (ID) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelli Shaw?

The NPI number is 1023401825.

What is the phone number of Kelli Shaw?

The phone number listed for the practice location is (208) 401-6401.

Where is Kelli Shaw located?

3115 N Sycamore Dr, Boise, ID 83703-4129.

What is the taxonomy code for Kelli Shaw?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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