Individual
SHAUNI HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
320 11TH AVE S, SUITE 204, NAMPA, ID 83651-5073
(208) 466-1077
(208) 467-2201
Mailing address
320 11TH AVE S, SUITE 204, NAMPA, ID 83651-5073
(208) 466-1077
(208) 467-2201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-2630
ID
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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