Individual
MARIAN THERESE PELOQUIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
10979 W COLLINA VISTA DR, STAR, ID 83669-6338
(805) 390-8404
Mailing address
10979 W COLLINA VISTA DR, STAR, ID 83669-6338
(805) 390-8404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-5329
ID
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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