NPI age
19 years
Enumerated 2006-11-17
● Active Type 2 · Organization
Idaho State University
Idaho State University is 1 of 146 audiologist organizations in Idaho.
Primary specialty
Audiologist
Plus 1 secondary
Practice locations
3
2 secondary on file
Status
Active
No deactivations on record
Authorized official
Rock
Clinics Director Of Operations
Last NPPES update
2024-02-27
Source: monthly bulk 2026-05
How this organization compares
Across 146 active audiologist providers in Idaho.
NPI age
19 years
↑ 5 yr above median
Practice locations
3
2 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
650 Memorial Drive, Bldg #68
Pocatello, ID 83201
Mailing address
921 S 8th Ave Stop 8116
Pocatello, ID 832090002
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
805 Main St
Salmon, ID 834674316
Location 3
1311 E Central Dr
Meridian, ID 836427991
Authorized official
Cynthia L Rock
Clinics Director Of Operations
📞 2083731743
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Mariette Milbrandt, CCC-SLP Speech-Language Pathologist NPI 1700163359
- Mary Whitaker, AU.D. Audiologist NPI 1497782577
Specialties
-
Audiologist Primary(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders...
-
Speech-Language PathologistThe 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Idaho State University Speech & Hearing Clinic
Practice context
Multi-provider organization. 2 individual providers on file at this primary address. Plus 2 secondary practice locations.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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