| NPI | 1407187354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN HAMMOND Speech/Language Pathologist 208-552-2374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP 1346) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2014-09-17 |