Individual
JENNIFER NORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3327 BRYDEN CT, LEWISTON, ID 83501-4929
(208) 305-4405
Mailing address
3327 BRYDEN CT, LEWISTON, ID 83501-4929
(208) 305-4405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00003362
WA
235Z00000X
Speech-Language Pathologist
SLP-1141
ID
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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