Healthcare Provider Details

I. General information

NPI: 1013355080
Provider Name (Legal Business Name): ANNE MARIE KUHLMEIER SLP/CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 E LOUISE DR SUITE 255
MERIDIAN ID
83642-6302
US

IV. Provider business mailing address

1398 W NEWFIELD DR
EAGLE ID
83616-6464
US

V. Phone/Fax

Practice location:
  • Phone: 208-489-5099
  • Fax: 208-489-5077
Mailing address:
  • Phone: 208-939-2840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1080
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: