NPI age
8 years
Enumerated 2017-08-22
Across 1046 active speech-language pathologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | SLP-3572 | DIVISION OF OCCUPATION AND PROFESSIONAL LICENSES |
| 01 (ID) | TSLP-3273 | PROVISIONAL LICENSE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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