NPI age
8 years
Enumerated 2017-06-07
Across 1046 active speech-language pathologist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | SLP-3205 | PROFESSIONAL LICENSE |
Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.
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