Individual
BRANDY LYNN GILEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-SLP
Contact information
Practice address
4650 HAWTHORNE RD STE 3B, CHUBBUCK, ID 83202-2376
(208) 237-9833
(208) 237-1800
Mailing address
415 MINDY DR, CHUBBUCK, ID 83202-2263
(208) 637-1003
(208) 237-1800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1302
ID
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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