Individual
DEBORAH K FAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC
Contact information
Practice address
724 PINE ST, SANDPOINT, ID 83864-1654
(208) 263-1843
Mailing address
724 PINE ST, SANDPOINT, ID 83864-1654
(208) 263-1843
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 1262
ID
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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