MRS. CARLEN WILLIAMS HERVIG (NPI# 1538572037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538572037 |
| Entity Type | Individual |
| Full Name | MRS. CARLEN WILLIAMS HERVIG |
| Credential | M.S. CCC-SLP |
| Practice Address |
73 North Main Street Victor ID 83455 |
| Mailing Address |
Po Box 449 Driggs ID 83422-0449 |
| Practice Telephone | 2087057868 |
| Mailing Telephone | 2087097868 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP-1112 | ID | Speech, Language and Hearing Service Providers |
| Street Address |
73 NORTH MAIN STREET |
| City | VICTOR |
| State | ID |
| Zip Code | 83455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477880268 | Heather Ann Hora | Occupational Therapist | 73 North Main Street, Suite 3, Victor, ID 83455 | 2009-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376050385 | Hunters Inc | Pharmacy | 81 N. Main St., Victor, ID 83455 | 2017-12-29 |
| 1194109306 | Emily Williams | Occupational Therapist | 73 N Main Street, Victor, ID 83455 | 2015-07-17 |
| 1073918173 | Teton Valley Vision PC | Optometrist | 7389 S Hwy 33, Ste B, Victor, ID 83455 | 2014-10-31 |
| 1437440591 | Nathan Richard George | Dentist | 7726 Lupine Lane, Victor, ID 83455 | 2011-04-25 |
| 1245537695 | Erin N Borbet | Acupuncturist | 108 W Center St Unit 3, Victor, ID 83455 | 2011-02-22 |
| 1336457837 | Grand Teton Dental Care | Clinic/Center | 741 South 50 West, Suite A, Victor, ID 83455 | 2010-09-17 |
| 1598086126 | Childs Play, LLC | Speech-Language Pathologist | 73 North Main, Victor, ID 83455 | 2010-06-17 |
| 1891025656 | Phillips Therapy Incorporated | Occupational Therapist | 73 North Main St., Suite 3, Victor, ID 83455 | 2009-12-30 |
| 1861621278 | Elmer Raymond Cherry Iv | Dentist | 7389 S. Hwy. 33 Suite A, Victor, ID 83455 | 2009-07-07 |
| 1861534133 | Amy Herzog | Counselor | 175 Brome Dr., #7, Victor, ID 83455 | 2007-02-13 |
| Find all providers in zip 83455 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598086126 | Childs Play, LLC | Speech-Language Pathologist | 73 North Main, Victor, ID 83455 | 2010-06-17 |
| 1932345188 | Gina Marie Colucci | Speech-Language Pathologist | 7641 Pine Tree Dr, Victor, NY 14564 | 2008-12-17 |
| 1730335654 | Jocelyn Rebecca Wheeler | Speech-Language Pathologist | 682 Brownsville Rd, Victor, NY 14564 | 2008-08-12 |
| 1972703429 | Amy M Polo | Speech-Language Pathologist | 6689 Camden Hill Dr, Victor, NY 14564-9394 | 2007-07-23 |
| 1518010677 | Carolyn Louise Kenngott | Speech-Language Pathologist | 519 Bourne Ln, Victor, MT 59875-9775 | 2007-01-19 |
| 1881613826 | Judy Stachowski | Speech-Language Pathologist | 590 Fishers Station Drive, Victor, NY 14564-3057 | 2006-07-19 |
| 1851355952 | Angela Poskus | Speech-Language Pathologist | 590 Fishers Station Dr, Suite 130, Victor, NY 14564-9744 | 2006-04-14 |
| 1407495070 | Daniella Nicole Licciardello | Speech-Language Pathologist | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2019-12-31 |
| 1811555667 | Meghan Lee Sherman | Speech-Language Pathologist | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2019-06-05 |
| 1497237812 | Lauren Defrance | Speech-Language Pathologist | 590 Fishers Station Dr Ste 130, Victor, NY 14564-9744 | 2018-08-31 |
| Find all providers in VICTOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.