NPI | 1932501558 |
---|---|
Doing Business As | BOISE SPEECH AND HEARING CLINIC |
Entity Type | Organization |
Authorized Contact | RIAN NOEL CHATTERTON Owner 208-793-7006 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1312) |
Enumeration Date | 2014-09-26 |
Last Update Date | 2021-07-23 |