Individual
MARY REBECCAH TALBOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC SLP
Contact information
Practice address
7211 W FRANKLIN RD, BOISE, ID 83709-0926
(208) 375-4200
Mailing address
200 S VILLA PL, BOISE, ID 83712-8362
(208) 860-0852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-4316
ID
235Z00000X
Speech-Language Pathologist
TSLP-3798
ID
Other
Enumeration date
01/24/2019
Last updated
08/07/2020
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