Agave Speech And Language Services Llc

Speech-Language Pathologist · Boise, ID

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At a glance

1747 N Fairmeadow Dr, Boise, ID 83704-7007

NPPES record updated Mar 28, 2018. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1747 N Fairmeadow Dr
Boise, ID 83704-7007

Additional reported practice locations

9504 W Amity Rd
Boise, ID 837095311
Phone: 2087612109
Professional details: NPI, taxonomy & registry record
NPI1265937551
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Registry details

Primary taxonomy
Speech-Language Pathologist
Taxonomy code
235Z00000X
Enumeration date
Mar 28, 2018
Record updated
Mar 28, 2018
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Speech-Language Pathologist

235Z00000X · Primary

License reported: SLP-2638 ID

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1747 N Fairmeadow Dr
Boise, ID 83704-7007
Phone
(208) 761-2109
Mailing address
9504 W AMITY RD

BOISE, ID 837095311
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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