NPI age
17 years
Enumerated 2008-06-03
Across 1046 active speech-language pathologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 808103700 | |
| 01 (ID) | SP054 | BLUE CROSS OF IDAHO |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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