Organization
SARA BERGSMA SPEECH PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA NICHOLE BERGSMA MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(208) 514-5660
Entity
Organization
Contact information
Practice address
10873 W SENECA DR, BOISE, ID 83709-3946
(208) 514-5660
Mailing address
10873 W SENECA DR, BOISE, ID 83709-3946
(208) 514-5660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2264
ID
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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