PETER NIEMAN

IDAHO FALLS, ID
NPI1568976934
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-2917)
Enumeration Date2017-11-21
Last Update Date2017-11-21
Business Address
PETER NIEMAN M.S. CCC-SLP
2860 CHANNING WAY STE 100
IDAHO FALLS, ID 83404-7531
Phone number: 208-529-7923
Mailing Address
PETER NIEMAN M.S. CCC-SLP
2775 SAINT CLAIR RD APT N205
IDAHO FALLS, ID 83404-7403
Phone number:
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