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

Individual provider Speech-Language Pathologist · NPI 1063935815

Kylie Michelle Bull, CCC-SLP is a Speech-Language Pathologist in Boise, Idaho. Works from 3 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2017
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

1409 W Main St Ste 120
Boise, ID 83702-5215
Phone: (208) 370-5857
Fax: (208) 506-6312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 935 E Winding Creek Dr Ste 120, Eagle, ID 83616-7242 — (208) 938-4748
  • 964 W Idaho Ave, Ontario, OR 97914-2111 — (208) 938-4748

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence TSLP-3247 (ID)

Record details

NPI number1063935815
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 24, 2017
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023

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