Provider Demographics
NPI:1699574061
Name:RIRIE, SHEREEN
Entity type:Individual
Prefix:
First Name:SHEREEN
Middle Name:
Last Name:RIRIE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11941 W GUNSMOKE DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-4756
Mailing Address - Country:US
Mailing Address - Phone:208-906-5344
Mailing Address - Fax:
Practice Address - Street 1:11941 W GUNSMOKE DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-4756
Practice Address - Country:US
Practice Address - Phone:208-906-5344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist