KIMBERLY A ENNIS MA, CCC-SLP
NPI 1356686026
Speech-Language Pathologist in Meridian, ID

Active since December 06, 2012
1351 WEST PINE AVE., MERIDIAN CARE AND REHABILITATION CENTER, MERIDIAN, ID 83642(208) 888-7246 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly A Ennis Ma, Ccc-slp NPPES

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

KIMBERLY A ENNIS MA, CCC-SLP (NPI 1356686026) is an individual speech-language pathologist provider in Meridian, Idaho, licensed in Idaho (SLP-1152) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1356686026
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY A ENNISCredential: MA, CCC-SLP
Location Address1351 WEST PINE AVE., MERIDIAN CARE AND REHABILITATION CENTERMeridian, ID 83642
Mailing Address1351 West Pine Ave., Meridian Care And Rehabilitation CenterMeridian, ID 83642 · (208) 888-7246
Sole ProprietorNo
Enumeration DateDecember 6, 2012
NPI 1356686026 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-1152
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.

1351 WEST PINE AVE., Meridian, ID 83642

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356686026, enumerated as an "individual" on December 06, 2012.

The provider is located at 1351 WEST PINE AVE. MERIDIAN CARE AND REHABILITATION CENTER MERIDIAN, ID 83642 and the phone number is (208) 888-7246.

Speech-Language Pathologist with taxonomy code 235Z00000X.