Individual
MARCELLA LOUISE HEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1735 SOUTH 1800 EAST, GOODING, ID 83330
(208) 308-6500
Mailing address
PO BOX 252, GOODING, ID 83330-0252
(208) 308-6500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1885
ID
Other
Enumeration date
09/09/2009
Last updated
10/17/2012
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