Individual
OLIVIA FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1717 BOYSON RD, HIAWATHA, IA 52233-2313
(319) 200-2004
Mailing address
1717 BOYSON RD, HIAWATHA, IA 52233-2313
(319) 200-2004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
083443
IA
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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