Individual
ELIZABETH SUBASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 N. CRESTMONT DR., SUITE E, MERIDIAN, ID 83642-2171
(208) 898-0988
(208) 898-9022
Mailing address
1550 N. CRESTMONT DR., SUITE E, MERIDIAN, ID 83642-2171
(208) 898-0988
(208) 898-9022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP2011
ID
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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