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KIMBERLY A ENNIS MA CCC-SLP NPI 1356686026


NPI Information

NPI: 1356686026
Provider Name: KIMBERLY A ENNIS, MA, CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
1351 WEST PINE AVE.
MERIDIAN CARE AND REHABILITATION CENTER
MERIDIAN, ID
ZIP 83642
Phone: (208) 888-7246
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Kimberly A Ennis, MA, CCC-SLP is a speech language pathologist in Meridian, 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. Kimberly A Ennis, MA, CCC-SLP NPI is 1356686026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1351 WEST PINE AVE.
MERIDIAN CARE AND REHABILITATION CENTER
MERIDIAN, ID
ZIP 83642
Phone: (208) 888-7246

The enumeration date for this NPI number is 12/6/2012 and was last updated on 12/6/2012.


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 PathologistSLP-1152IDAHOYes

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

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