Individual
REBECCA ANN BARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 LILAC ST, BLACKFOOT, ID 83221-1768
(208) 785-9917
Mailing address
406 W 260 N, BLACKFOOT, ID 83221-4929
(208) 541-4949
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2327
ID
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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