CARISA A GEARHART

BLACKFOOT, ID
NPI1306045844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1608)
Enumeration Date2007-07-14
Last Update Date2007-07-14
Business Address
Mrs. CARISA A GEARHART MS CCC-SLP
7 N 600 W
BLACKFOOT, ID 83221-5533
Phone number: 208-684-9812
Mailing Address
Mrs. CARISA A GEARHART MS CCC-SLP
3175 GOLDFIELD DR
POCATELLO, ID 83201-2777
Phone number: 208-604-0287