Individual
MRS. HAILEY LONG KRIEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2377 CORONADO ST, IDAHO FALLS, ID 83404-7440
(208) 420-0150
Mailing address
1925 HIGH TOP LN, REXBURG, ID 83440-2917
(208) 420-0150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3014
ID
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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