Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trae Perry, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1265809016

Trae Perry, MSCCC-SLP is a Speech-Language Pathologist in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2015.

Licensed in
ID
In the registry since
2015

Practice location Address checks out

2377 Coronado St
Idaho Falls, ID 83404-7440
Phone: (208) 535-1286
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP - 2790 (ID)

Record details

NPI number1265809016
Entity typeIndividual (Type 1)
GenderMale
Credentials MSCCC-SLP
Sole proprietorNo
NPI enumeratedAugust 27, 2015
Last updated in NPPESAugust 27, 2015

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