BECKY HATHAWAY

POCATELLO, ID
NPI1487099537
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2013-05-02
Last Update Date2013-05-02
Business Address
-- BECKY HATHAWAY
353 N 4TH AVE SUITE 110
POCATELLO, ID 83201-6390
Phone number: 208-233-7832
Mailing Address
-- BECKY HATHAWAY
PO BOX 4908
POCATELLO, ID 83205-4908
Phone number: 208-236-1600