Individual
VANNESS LYNN COONROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP1695
Contact information
Practice address
901 N CURTIS RD, STE 204, BOISE, ID 83706-1338
(208) 367-3315
(206) 367-2674
Mailing address
901 N CURTIS RD, STE 204, BOISE, ID 83706-1338
(208) 367-3315
(206) 367-2674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1695
ID
Other
Enumeration date
01/22/2009
Last updated
01/22/2009
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