Individual
COLLEEN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
168 MCCLURE AVE, NAMPA, ID 83651-2025
(208) 466-1077
Mailing address
168 MCCLURE AVE, NAMPA, ID 83651-2025
(208) 466-1077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2284
ID
Other
Enumeration date
08/04/2009
Last updated
09/19/2012
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