IndividualActive
Amanda Taylor
NPI 1063957967 · Speech-Language Pathologist · Pocatello, ID
Provider details
- NPI number
- 1063957967
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- TSLP-2914 (ID)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1071 Renee Ave
Pocatello, ID 83201-2508
Phone: (208) 233-1411
Approximate (ZIP-level) locationGet directions
Mailing address
1071 Renee Ave
Pocatello, ID 83201-2508
Registry dates
- Enumerated
- 2016-12-31
- Last updated
- 2016-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.