| NPI | 1952474777 |
|---|---|
| Doing Business As | IDAHO STATE UNIVERSITY SPEECH & HEARING CLINIC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L ROCK Clinics Director Of Operations 208-373-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2024-02-27 |