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PRIMARY THERAPY SOURCE LLC NPI 1114170024


NPI Information

NPI: 1114170024
Provider Name: PRIMARY THERAPY SOURCE LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
254 RIVER VISTA PL
TWIN FALLS, ID
ZIP 83301
Phone: (208) 734-7333
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PRIMARY THERAPY SOURCE LLC is a speech language pathologist in Twin Falls, ID. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. PRIMARY THERAPY SOURCE LLC NPI is 1114170024. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

254 RIVER VISTA PL
TWIN FALLS, ID
ZIP 83301-006
Phone: (208) 734-7333
Fax: (208) 734-8350

The provider's authorized official is Jan Yingst .
The authorized official title is Owner and has the following contact phone number (208) 734-7333.

The enumeration date for this NPI number is 10/23/2008 and was last updated on 10/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language PathologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.