Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amy Jean Rardin, MA/CCC

Individual provider Speech-Language Pathologist · NPI 1053997270

Amy Jean Rardin, MA/CCC is a Speech-Language Pathologist in Moscow, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021
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Practice location Address checks out

650 N Cleveland St
Moscow, ID 83843-3600
Phone: (208) 882-1120
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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-3206 (ID)

Record details

NPI number1053997270
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA/CCC
Sole proprietorNo
NPI enumeratedMarch 18, 2021
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021

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