Individual
VICKI NORTON HULET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCCSLP
Contact information
Practice address
3446 MERLIN, IDAHO FALLS, ID 83404
(208) 523-3662
(208) 523-6002
Mailing address
559 MASTERS DR, IDAHO FALLS, ID 83401-3118
(208) 523-6199
(208) 523-6002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1461
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6528800
—
ID
01
—
SLP-1461
IDAHO STATE LICENSE
ID
01
—
SPH54
BLUE CROSS
ID
Enumeration date
08/29/2006
Last updated
10/07/2008
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