Individual
MISS TRISHA M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
207 W GEORGIA AVE, SUITE 170, NAMPA, ID 83686-3024
(208) 489-5700
(208) 489-4077
Mailing address
207 W GEORGIA AVE, SUITE 170, NAMPA, ID 83686-3024
(208) 489-5700
(208) 489-4077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1915
ID
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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