Individual
MRS. SANDRA SUMMERS REDDISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CC SLP
Contact information
Practice address
36 PROFESSIONAL PLZ STE 110, REXBURG, ID 83440-2049
(208) 359-9570
(208) 359-9580
Mailing address
3653 E SPECTRUM DR, IDAHO FALLS, ID 83401-5041
(208) 206-9613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1625
ID
Other
Enumeration date
06/18/2017
Last updated
03/17/2018
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