Provider Demographics
NPI:1801307392
Name:CALE, ROBERT ERIC (AUD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ERIC
Last Name:CALE
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
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Mailing Address - Street 1:3345 MERLIN DR STE 200
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83404-7489
Mailing Address - Country:US
Mailing Address - Phone:208-529-1514
Mailing Address - Fax:208-529-3170
Practice Address - Street 1:3345 MERLIN DR STE 200
Practice Address - Street 2:
Practice Address - City:IDAHO FALLS
Practice Address - State:ID
Practice Address - Zip Code:83404-7489
Practice Address - Country:US
Practice Address - Phone:208-529-1514
Practice Address - Fax:208-529-3170
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA-2045231H00000X
MTSLP-AU-LIC-11601231H00000X
IDAUD-6072231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist