Organization
IDAHO STATE UNIVERSITY - MERIDIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANNE M JOHNSON PHD, CCC SLP (ASSOCIATE CHAIR)
(208) 373-1728
Entity
Organization
Contact information
Practice address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1728
(208) 373-1811
Mailing address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1728
(208) 373-1811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
ID
Other
Enumeration date
08/18/2008
Last updated
06/15/2010
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