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Active NPI 1598047755 Individual Practitioner Female Practitioner

Elizabeth B Renzello , SLP

Speech-Language Pathologist • Chubbuck, ID

Professional Overview & Biography Verified Profile Summary

Elizabeth Renzello, SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Chubbuck, ID. Practice services are available at 4650 HAWTHORNE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4650 Hawthorne Rd

Chubbuck, ID 832022376

Telephone 2082383349
Associated Practice Facility / Clinic
🏢 Seasons Of Hope, Llc Facility NPI 1891008850

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Chubbuck, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
14 Specialists

Practicing in Chubbuck, ID (967 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID SLP-1284

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Derek Schelske , PT

Physical Therapist

NPI 1336438894

Physical Therapist

Jerralyn Wasylyshen , PT

Physical Therapist

NPI 1780952093

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2012

Registered at 4650 HAWTHORNE RD, CHUBBUCK, ID 832022376 (Tel: 2082383349)

📍
Updated Business Mailing Address September 24, 2012

Registered at 1401 KIERSTEN DR, CHUBBUCK, ID 832027705 (Tel: 2087059033)

👤
Provider Name / Credentials Updated September 24, 2012

Recorded as ELIZABETH RENZELLO, SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2012

Speech-Language Pathologist (License #SLP-1284 in ID)

🟢
Initial NPI Registration & Enumeration September 14, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598047755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2011
Last Update: September 24, 2012
Sole Proprietor: Yes

Mailing Address

1401 Kiersten Dr

Chubbuck, ID 832027705

Phone: 2087059033

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.