Individual
AMBER L. GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPT (SPEECH THERAPIS
Contact information
Practice address
901 N CURTIS RD STE 204, BOISE, ID 83706-1340
(208) 367-3315
(208) 367-2674
Mailing address
901 N CURTIS RD STE 204, BOISE, ID 83706-1340
(208) 367-3315
(208) 367-2674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09127878
ID
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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