Burrell, Tara T
Burrell, Tara T is an sole proprietor health care provider with primary practice located at 1110 Call Creek Dr Ste 7 , Pocatello ID 83201-3072. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Burrell, Tara T can be contacted via phone (208) 233-4660.Contact Information
Primary practice address
1110 Call Creek Dr Ste 7
Pocatello ID 83201-3072
Phone: (208) 233-4660
Fax: (208) 233-4262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-1741 | Idaho |
Profile Details
| NPI number | 1922260686 |
|---|---|
| LBN Legal business name | Burrell, Tara T |
| Credentials | M.S, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2008 |
| Last updated | Jun 25th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922260686 | NPPES |
| Idaho | Other | 12118744 | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
| Idaho | Other | 1741 | AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION |
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