Individual
MEGAN PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2127 W OVERLAND RD, BOISE, ID 83705-3149
(208) 321-4898
Mailing address
9623 W IDLEWOOD DR, BOISE, ID 83709-6966
(385) 241-4810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-4945
ID
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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