NPI age
9 years
Enumerated 2016-06-01
Across 1046 active speech-language pathologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | PENDING | |
| 01 (ID) | PENDING | IDAHO MEDICAID |
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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