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Individual

MS. MELINDA LOUISE HARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC SLP

Contact information

Practice address
1201 FALLS AVE EAST, SUITE 36, TWIN FALLS, ID 83301
(208) 734-6700
(208) 734-6795
Mailing address
679 BRISTLECONE DR, TWIN FALLS, ID 83301
(208) 736-0331
(208) 734-6795

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 1336
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010024246
BLUE SHIELD
ID
01
SPB19
BLUE CROSS
ID
Enumeration date
03/19/2007
Last updated
07/08/2007
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