Individual
AMANDA AEBERSOLD COUTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2078
(208) 381-2178
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2078
(208) 381-2178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4781505
ID
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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