Individual
MARTHA E MALKASIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC SLP
Contact information
Practice address
5125 E TRAIL WIND DR, BOISE, ID 83716-7027
(208) 869-5477
Mailing address
5125 E TRAIL WIND DR, BOISE, ID 83716-7027
(208) 869-5477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1634
ID
Other
Enumeration date
07/07/2008
Last updated
07/27/2009
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