Healthcare Provider Details

I. General information

NPI: 1205745502
Provider Name (Legal Business Name): VICKERY VOICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

376 W HAVASU FALLS ST
MERIDIAN ID
83646-6692
US

IV. Provider business mailing address

376 W HAVASU FALLS ST
MERIDIAN ID
83646-6692
US

V. Phone/Fax

Practice location:
  • Phone: 208-366-5446
  • Fax: 208-493-5558
Mailing address:
  • Phone: 208-366-5446
  • Fax: 208-493-5558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MEGHAN VICKERY
Title or Position: OWNER/CLINICIAN
Credential: SLP
Phone: 208-550-0420