Individual
LAURA MARIE VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
314 N BONNER DR, NAMPA, ID 83651-1801
(208) 880-6228
(208) 466-9873
Mailing address
314 N BONNER DR, NAMPA, ID 83651-1801
(208) 880-6228
(208) 466-9873
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1430
ID
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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