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Individual

HEATHER TANNER ANTHON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1501 HILAND AVE, BURLEY, ID 83318-2688
(208) 677-6530
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(208) 921-8188

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-5515
ID
235Z00000X
Speech-Language Pathologist
TSLP-4826
ID

Other

Enumeration date
08/13/2021
Last updated
04/08/2026
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