NPI age
20 years
Enumerated 2006-03-03
Across 1046 active speech-language pathologist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 | 000010007166 | REGENCE BLUE SHIELD |
| 01 (ID) | SPC83 | BLUE CROSS OF ID |
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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