Individual
TAMMY EMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
405 E AVENUE A, JEROME, ID 83338-2704
(208) 308-5808
(208) 324-3440
Mailing address
405 E AVENUE A, JEROME, ID 83338-2704
(208) 308-5808
(208) 324-3440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1266
ID
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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