Individual
BRITTANY LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 535-1286
Mailing address
1462 S BELLIN RD, IDAHO FALLS, ID 83402-3873
(774) 217-9484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-4093
ID
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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