Healthcare Provider Details

I. General information

NPI: 1447385182
Provider Name (Legal Business Name): ROBIN PIERCE FALSLEV M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 S. 8TH AVE. #68
POCATELLO ID
83201
US

IV. Provider business mailing address

2535 WOODHILL WAY
POCATELLO ID
83201-2613
US

V. Phone/Fax

Practice location:
  • Phone: 208-282-3809
  • Fax:
Mailing address:
  • Phone: 208-282-3809
  • 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:
Title or Position:
Credential:
Phone: