IndividualActive
Amy Rardin, MA/CCC
NPI 1053997270 · Speech-Language Pathologist · Moscow, ID
Provider details
- NPI number
- 1053997270
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA/CCC
- Sex
- Female
- Sole proprietor
- No
- License
- SLP-3206 (ID)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
650 N Cleveland St
Moscow, ID 83843-3600
Phone: (208) 882-1120
Approximate (ZIP-level) locationGet directions
Mailing address
616 S Jefferson St Apt B
Moscow, ID 83843-3271
Registry dates
- Enumerated
- 2021-03-18
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.