| NPI | 1053557165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA LYNN HUTTON Speech Language Pathologist 208-737-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: ID pending) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |