Organization
SLIERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA LYNN HUTTON M.S., CFY, SLP (SPEECH LANGUAGE PATHOLOGIST)
(208) 737-2126
Entity
Organization
Contact information
Practice address
560 SHOUP AVE W, TWIN FALLS, ID 83301-5029
(208) 737-2126
(208) 737-2972
Mailing address
560 SHOUP AVE W, TWIN FALLS, ID 83301-5029
(208) 737-2126
(208) 737-2972
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
PENDING
ID
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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