Organization · Type 2 NPI

Modern Speech and Myofunctional Therapy, LLC

Speech-Language Pathologist · Eagle, ID

NPI number 1780413294 Active

Practice location

1036 E Iron Eagle Dr Ste 108
Eagle, ID 83616-6558

Call (208) 918-1466 Map

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XNone listed

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 1780413294

Modern Speech and Myofunctional Therapy, LLC's National Provider Identifier is 1780413294, issued on Aug 1, 2024. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Eagle, ID. The record was last updated on Aug 7, 2025.