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

Idaho State University

Organization Audiologist · NPI 1952474777

Idaho State University is an Audiologist in Pocatello, Idaho. Works from 3 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
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Practice location Address checks out

650 Memorial Dr Bldg #68
Pocatello, ID 83201
Phone: (208) 282-3495
Fax: (208) 282-4571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1311 E Central Dr, Meridian, ID 83642-7991 — (208) 373-1734
  • 805 Main St, Salmon, ID 83467-4316 — (208) 282-3495

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1952474777
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Rock — Clinics Director Of Operations · (208) 373-1743
Other names Idaho State University Speech & Hearing Clinic
NPI enumeratedNovember 17, 2006
Last updated in NPPESFebruary 27, 2024
Certification dateFebruary 27, 2024
Mailing address921 S 8th Ave Stop 8116, Pocatello, ID 83209-0002

Other providers in Pocatello