NPI age
19 years
Enumerated 2007-03-14
Across 1046 active speech-language pathologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010157677 | REGENCE BLUE SHIELD |
| 01 | 12003265 | ASHA |
| 01 (ID) | SLP05 | BLUE CROSS PROVIDER # |
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
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