AMY JEAN RARDIN MA/CCC
NPI 1053997270
Speech-Language Pathologist in Moscow, ID

Active since March 18, 2021
650 N CLEVELAND ST, MOSCOW, ID 83843(208) 882-1120 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy Jean Rardin Ma/ccc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY JEAN RARDIN MA/CCC (NPI 1053997270) is an individual speech-language pathologist provider in Moscow, Idaho, licensed in Idaho (SLP-3206) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1053997270
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameAMY JEAN RARDINCredential: MA/CCC
Location Address650 N CLEVELAND STMoscow, ID 83843-3600
Mailing Address616 S Jefferson St Apt BMoscow, ID 83843-3271 · (907) 229-4911
Sole ProprietorNo
Enumeration DateMarch 18, 2021
NPPES CertifiedMarch 18, 2021
NPI 1053997270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in ID · SLP-3206
Definition
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.
650 N CLEVELAND ST, Moscow, ID 83843

Other Names 1

Former Name (1)Amy Jean Gohl Ma/ccc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Local Education Agency (LEA)
650 N CLEVELAND ST
MOSCOW, ID 83843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Rardin's NPI number?

The NPI number for Amy Rardin is 1053997270. It was assigned to this individual provider in the NPPES registry on March 18, 2021. The provider is also known as Amy Jean Gohl Ma/Ccc.

Where is Amy Rardin located?

Amy Rardin practices at 650 N Cleveland St, Moscow, ID 83843. The listed phone number is (208) 882-1120.

What is Amy Rardin's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Amy Rardin was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.