| NPI | 1760008262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MCMASTER-STINE Speech Language Pathologist 208-660-9463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2023-06-30 |