Healthcare Provider Details

I. General information

NPI: 1154237170
Provider Name (Legal Business Name): SARIAH HARMON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARIAH STANDLEE

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 S ALLUMBAUGH WAY
BOISE ID
83709-5658
US

IV. Provider business mailing address

101 S ALLUMBAUGH WAY
BOISE ID
83709-5658
US

V. Phone/Fax

Practice location:
  • Phone: 208-323-8888
  • Fax:
Mailing address:
  • Phone: 208-323-8888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4781826
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: