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DYLAN WAKE M.S. CCC-SLP
NPI 1215401963
Speech-Language Pathologist in Idaho Falls, ID

Active since January 16, 2019
3100 CHANNING WAY, IDAHO FALLS, ID 83404(208) 529-7685 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dylan Wake M.s. Ccc-slp NPPES

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

DYLAN WAKE M.S. CCC-SLP (NPI 1215401963) is an individual speech-language pathologist provider in Idaho Falls, Idaho, licensed in Idaho (SLP-3589) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1215401963
Entity TypeIndividualMale
Primary Taxonomy235Z00000X
Provider Legal NameDYLAN WAKECredential: M.S. CCC-SLP
Location Address3100 CHANNING WAYIdaho Falls, ID 83404-7533
Mailing Address3100 Channing WayIdaho Falls, ID 83404-7533 · (208) 529-7685
Phone(208) 529-7685
Sole ProprietorNo
Enumeration DateJanuary 16, 2019
✔ NPI 1215401963 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-3589
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.
3100 CHANNING WAY, Idaho Falls, ID 83404
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Other Providers at the Same Location NPPES 20

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

CARL SAMUEL BRAYTON DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (714) 616-4454
REED D LOERTSCHER CRNA
Nurse Anesthetist, Certified Registered
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6285
ALEXIS R SIDDOWAY NP
Nurse Practitioner (Neonatal)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4432
UNIVERSITY OF UTAH ADULT SERVICES
Internal Medicine (Nephrology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (801) 581-2121
MR. VENKATA KALYAN C BYRAPOGU MD
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 970-1123
TAYLOR JAMES CARSON
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 670-0407
NOOR ASHRAF NASSEF DO
Student in an Organized Health Care Education/Training Program
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6111
DR. ALAN B WRAY M.D.
Radiology (Diagnostic Radiology)
3100 CHANNING WAY
IDAHO FALLS, ID 83404
Bonneville County (208) 227-2600

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 Dylan Wake's NPI number?

The NPI number for Dylan Wake is 1215401963. It was assigned to this individual provider in the NPPES registry on January 16, 2019.

Where is Dylan Wake located?

Dylan Wake practices at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (208) 529-7685.

What is Dylan Wake'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 Dylan Wake was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.