Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Axelle Emmanuelle Landis, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1255182606

Axelle Emmanuelle Landis, CCC-SLP is a Speech-Language Pathologist in Athol, Idaho. Licensed in Indiana. Registered with an NPI since 2024.

Licensed in
IN
In the registry since
2024
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

6333 E Menser Ave
Athol, ID 83801-9426
Phone: (208) 683-2231
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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-5316 (IN)

Record details

NPI number1255182606
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedApril 1, 2024
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

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