Individual
ANGELA M ABBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
79 N PLUMMER RD, STAR, ID 83669-5561
(208) 391-2773
Mailing address
79 N PLUMMER RD, STAR, ID 83669-5561
(208) 391-2773
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2792
ID
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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