Individual
MRS. MELISSA MARIE SWANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
12694 S CONVEYANCE WAY, NAMPA, ID 83686-6757
(208) 861-7824
Mailing address
12694 S CONVEYANCE WAY, NAMPA, ID 83686-6757
(208) 861-7824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1783
ID
Other
Enumeration date
07/02/2010
Last updated
03/24/2021
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