HEATHER DIEFENBACH

MERIDIAN, ID
NPI1215271614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1983)
Enumeration Date2012-11-26
Last Update Date2012-11-26
Business Address
-- HEATHER DIEFENBACH MSCCC-SLP
1351 W. PINE AVE
MERIDIAN, ID 83642
Phone number: 208-895-6431
Mailing Address
-- HEATHER DIEFENBACH MSCCC-SLP
2283 S. PETRA AVE
BOISE, ID 83709
Phone number: 208-830-6471