Individual
MRS. SELENA LEANNE SKOLRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLPCF
Contact information
Practice address
1014 BURRELL AVE, LEWISTON, ID 83501-5589
(208) 743-4558
(208) 746-7657
Mailing address
1014 BURRELL AVE, LEWISTON, ID 83501
(208) 743-4558
(208) 746-7657
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-2213
ID
Other
Enumeration date
10/09/2012
Last updated
03/07/2013
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