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NPI Code Detail

MEDICARE: TREASURE VALLEY SPEECH AND LANGUAGE, LLC

MEDICARE: TREASURE VALLEY SPEECH AND LANGUAGE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1255262549
Entity Type Code : Organization
Provider Name (Legal Business Name) : TREASURE VALLEY SPEECH AND LANGUAGE, LLC
Provider Business Mailing Address
First Line : 784 S CLEARWATER LOOP STE B
Second Line :
City : POST FALLS
State : ID
Zip : 83854-9599
Country : US
Telephone Number : 208-203-5567
Fax Number :
Provider Business Practice Location Address
First Line : 875 S VANGUARD WAY STE 200C
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-9446
Country : US
Telephone Number : 208-203-5567
Fax Number :
Authorized Official
Title or Position : OWNER/SPEECH LANGUAGE PATHOLOGIST
Name : AMBER KROEGER
Credential :
Telephone Number : 760-662-0866
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “TREASURE VALLEY SPEECH AND LANGUAGE, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.