| NPI | 1659548022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA KAMAILE HIATT Speech Language Pathologist 208-921-4873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP1647) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |