Kalisky, Grace
Kalisky, Grace is an individual health care provider with primary practice located at 12124 W Feramorz Ln , Star ID 83669-5165. 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. Kalisky, Grace can be contacted via phone (208) 391-2773.Contact Information
Primary practice address
12124 W Feramorz Ln
Star ID 83669-5165
Phone: (208) 391-2773
Fax: (855) 255-0774
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP-1678 | Idaho |
Profile Details
| NPI number | 1932640869 |
|---|---|
| LBN Legal business name | Kalisky, Grace |
| Credentials | MA CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2017 |
| Last updated | Mar 10th, 2017 - about 9 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 | 1932640869 | NPPES |
| Idaho | Other | NONE | NONE |
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