Individual provider · Type 1 NPI

Dylan Wake, M.S. CCC-SLP

Speech-Language Pathologist · Idaho Falls, ID

NPI number 1215401963 Active

Practice location

3100 Channing Way
Idaho Falls, ID 83404-7533

Call (208) 529-7685 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP-3589 (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 1215401963

Dylan Wake, M.S. CCC-SLP's National Provider Identifier is 1215401963, issued on Jan 16, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Jan 16, 2019.