Individual
KATIE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
935 E WINDING CREEK DRIVE, SUITE 120, EAGLE, ID 83616
(208) 938-4748
(208) 938-1710
Mailing address
935 E WINDING CREEK DRIVE, SUITE 120, EAGLE, ID 83616
(208) 938-4748
(208) 938-1710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8461379
ID
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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