| NPI | 1720595796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM STRONG Speech Language Pathologist 208-298-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2019-10-30 |