Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marian Therese Peloquin, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1093596454

Marian Therese Peloquin, MS, CCC-SLP is a Speech-Language Pathologist in Star, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2023
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

10979 W Collina Vista Dr
Star, ID 83669-6338
Phone: (805) 390-8404
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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-5329 (ID)

Record details

NPI number1093596454
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedOctober 11, 2023
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023

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