Individual provider · Type 1 NPI

Kylie Michelle Bull, CCC-SLP

Speech-Language Pathologist · Boise, ID

NPI number 1063935815 Active

Practice location

1409 W Main St Ste 120
Boise, ID 83702-5215

Fax (208) 506-6312

Mailing address

935 E Winding Creek Dr Ste 120
Eagle, ID 83616-7242

Other practice locations

  • 935 E Winding Creek Dr Ste 120, Eagle, ID 83616-7242 · (208) 938-4748
  • 964 W Idaho Ave, Ontario, OR 97914-2111 · (208) 938-4748

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XTSLP-3247 (ID)

Speech-Language Pathologist: 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, resonan…

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About NPI 1063935815

Kylie Michelle Bull, CCC-SLP's National Provider Identifier is 1063935815, issued on Jul 24, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Boise, ID. The record was last updated on May 17, 2023.