Individual provider · Type 1 NPI

Kimberli Shaner, MS CCC-SLP

Speech-Language Pathologist · Boise, ID

NPI number 1992675938 Active

Practice location

1835 N Wildwood St
Boise, ID 83713-5146

Call (208) 473-0545 Map

Mailing address

1488 E Lake Creek St
Meridian, ID 83642-4638

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP-2586 (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 1992675938

Kimberli Shaner, MS CCC-SLP's National Provider Identifier is 1992675938, issued on Nov 6, 2025. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Boise, ID. The record was last updated on Nov 6, 2025.