Individual
JENNIFER OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1300 LOWELL DR, IDAHO FALLS, ID 83402-5172
(208) 535-1286
(208) 535-1291
Mailing address
1300 LOWELL DR, IDAHO FALLS, ID 83402-5172
(208) 535-1286
(208) 535-1291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2791
ID
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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