Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Calico Pediatric Therapy Center, LLC

Organization Speech-Language Pathologist · NPI 1104102375

Calico Pediatric Therapy Center, LLC is a Speech-Language Pathologist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2011.

Licensed in
ID
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1650 N Hilton St
Boise, ID 83706-1734
Phone: (208) 850-5804
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP-1396 (ID)

Record details

NPI number1104102375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristin Negilski — Owner · (208) 850-5804
NPI enumeratedNovember 1, 2011
Last updated in NPPESNovember 1, 2011
Mailing address4145 Willow Creek Rd, Eagle, ID 83616-2505

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