Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093596454 Individual Practitioner Female Practitioner

Marian Therese Peloquin , MS, CCC-SLP

Speech-Language Pathologist • Star, ID

Professional Overview & Biography Verified Profile Summary

Marian Peloquin, MS, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Star, ID. Practice services are available at 10979 W COLLINA VISTA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10979 W Collina Vista Dr

Star, ID 836696338

Telephone 8053908404

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Star, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Star, 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

CMS Verified: 2023-10-11
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License ID SLP-5329

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 11, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2023

Registered at 10979 W COLLINA VISTA DR, STAR, ID 836696338 (Tel: 8053908404)

📍
Updated Business Mailing Address October 11, 2023

Registered at 10979 W COLLINA VISTA DR, STAR, ID 836696338 (Tel: 8053908404)

👤
Provider Name / Credentials Updated October 11, 2023

Recorded as MARIAN PELOQUIN, MS, CCC-SLP

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2023

Speech-Language Pathologist (License #SLP-5329 in ID)

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Initial NPI Registration & Enumeration October 11, 2023

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: 1093596454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2023
Last Update: October 11, 2023
Sole Proprietor: Yes

Mailing Address

10979 W Collina Vista Dr

Star, ID 836696338

Phone: 8053908404

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.