IndividualActive
Andrea Swenson
NPI 1366158289 · Speech-Language Pathologist · Pocatello, ID
Provider details
- NPI number
- 1366158289
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- TSLP-5656 (ID)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Allopathic & Osteopathic Physicians
Practice location
1110 Call Creek Dr Ste 7
Pocatello, ID 83201-3072
Phone: (208) 233-4660
Fax: (208) 233-4262
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Call Creek Dr Ste 7
Pocatello, ID 83201-3072
Registry dates
- Enumerated
- 2023-01-24
- Last updated
- 2023-02-02
- Certified
- 2023-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.