Individual provider · Type 1 NPI

Kellie Alyse Glock, TSLP

Speech-Language Pathologist · Pocatello, ID

NPI number 1659780559 Active

Practice location

1110 Call Creek Dr
Pocatello, ID 83201-3001

Call (208) 233-4660 Map

Fax (208) 233-4262

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XTSLP-2603 (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 1659780559

Kellie Alyse Glock, TSLP's National Provider Identifier is 1659780559, issued on Aug 5, 2014. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Pocatello, ID. The record was last updated on Aug 5, 2014.