Individual
DELAYNIE DORSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3040 KAI CT, AMMON, ID 83406-5184
(208) 989-8494
Mailing address
3040 KAI CT, AMMON, ID 83406-5184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9971173
ID
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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