Individual
MRS. TAYLOR NICOLE WIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
6855 W FAIRVIEW AVE, BOISE, ID 83704-8046
(208) 323-8888
Mailing address
9133 W LORINDA DR, BOISE, ID 83704-3268
(208) 322-6804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3720
ID
Other
Enumeration date
09/14/2017
Last updated
01/14/2019
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