NPI age
19 years
Enumerated 2006-12-01
Across 1046 active speech-language pathologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 01040219 | ASHA NUMBER |
| 01 (ID) | SLP-1257 | PROFESSIONAL LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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