Individual
ELISE PESSETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF SLP
Contact information
Practice address
101 11TH AVE S # 155, NAMPA, ID 83651-3918
(208) 466-1077
Mailing address
2950 E PARKCENTER BLVD APT 310, BOISE, ID 83716-4725
(435) 650-9226
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-3592
ID
Other
Enumeration date
07/26/2018
Last updated
07/09/2019
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