Individual
AMY MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
7 N 600 W, BLACKFOOT, ID 83221-5533
(208) 782-2267
Mailing address
54 S 520 W, BLACKFOOT, ID 83221-6187
(208) 785-0886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2937
ID
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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