MISTY RICHARDSON

IDAHO FALLS, ID
NPI1053626093
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-2177)
Enumeration Date2010-08-14
Last Update Date2025-05-09
Business Address
Mrs. MISTY RICHARDSON MS, CCC-SLP
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
Mailing Address
Mrs. MISTY RICHARDSON MS, CCC-SLP
4230 WANDA ST
AMMON, ID 83406-6875
Phone number: 208-520-8488