Healthcare Provider Details

I. General information

NPI: 1255262549
Provider Name (Legal Business Name): TREASURE VALLEY SPEECH AND LANGUAGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 S VANGUARD WAY STE 200C
MERIDIAN ID
83642-9446
US

IV. Provider business mailing address

784 S CLEARWATER LOOP STE B
POST FALLS ID
83854-9599
US

V. Phone/Fax

Practice location:
  • Phone: 208-203-5567
  • Fax:
Mailing address:
  • Phone: 208-203-5567
  • Fax:

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: AMBER KROEGER
Title or Position: OWNER/SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 760-662-0866