Individual
MCKENZIE JEMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
560 MEMORIAL DR, STE C, POCATELLO, ID 83201-4070
(208) 904-1112
(855) 319-1499
Mailing address
560 MEMORIAL DR, STE C, POCATELLO, ID 83204-0325
(208) 904-1112
(855) 319-1499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2779
ID
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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