KELLIE ALYSE GLOCK TSLP
NPI 1659780559
Speech-Language Pathologist in Pocatello, ID
- Individual
- Female
- Speech-Language Pathologist
About KELLIE GLOCK
This page provides the complete NPI Profile along with additional information for Kellie Glock, a provider established in Pocatello, Idaho with a medical specialization in Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1659780559 assigned on August 2014. The practitioner's primary taxonomy code is 235Z00000X with license number TSLP-2603 (ID). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1659780559 Verify this NPI
- Provider Name
- KELLIE ALYSE GLOCK TSLP
- Other Name
- ALYSE GLOCK TSLP
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1110 CALL CREEK DR POCATELLO, ID 83201
- Location Phone
- (208) 233-4660
- Location Fax
- (208) 233-4262
- Mailing Address
- 1110 CALL CREEK DR POCATELLO, ID 83201
- Mailing Phone
- (208) 233-4660
- Mailing Fax
- (208) 233-4262
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-05-2014
- Last Update Date
- 08-05-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- TSLP-2603
- License State
- ID
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
POCATELLO, ID 83201
POCATELLO, ID 83201
POCATELLO, ID 83201
POCATELLO, ID 83201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659780559, enumerated as an "individual" on August 05, 2014.
The provider is located at 1110 CALL CREEK DR POCATELLO, ID 83201 and the phone number is (208) 233-4660.
Speech-Language Pathologist with taxonomy code 235Z00000X.