Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Stephanie M Thomas, CCC-SLP, QOM

Individual provider Speech-Language Pathologist · NPI 1770063521

Mrs. Stephanie M Thomas, CCC-SLP, QOM is a Speech-Language Pathologist in Boise, Idaho. Registered with an NPI since 2018.

In the registry since
2018
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

13075 W Persimmon Ln Ste 120
Boise, ID 83713-1986
Phone: (208) 376-3591
Fax: (208) 376-3594
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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

Record details

NPI number1770063521
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP , QOM
Sole proprietorNo
NPI enumeratedAugust 20, 2018
Last updated in NPPESMay 7, 2024
Certification dateMay 7, 2024

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