NPI age
4 years
Enumerated 2021-06-09
Across 1046 active speech-language pathologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | SLP-4786 | NA |
| 01 (ID) | SLP-4786 | SLP-4786 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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