Individual
MR. JEFFREY D. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
393 E 2ND N, REXBURG, ID 83440
(208) 359-9570
(208) 359-9580
Mailing address
393 E 2ND N, REXBURG, ID 83440
(208) 359-9570
(208) 359-9580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1119
ID
Other
Enumeration date
03/26/2008
Last updated
09/01/2009
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