Individual
MICHELLE DAHLBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1460 ELK CREEK DR, IDAHO FALLS, ID 83404-8237
(208) 535-1286
(208) 535-1291
Mailing address
1225 S HIGHLINE DR, IDAHO FALLS, ID 83401-5909
(208) 604-1286
(208) 535-1291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1147
ID
Other
Enumeration date
07/24/2006
Last updated
03/09/2022
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