Organization
TALK BLOSSOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH MAE LANDRY MS CCC-SLP (OWNER/ SLP)
(208) 515-0578
Entity
Organization
Contact information
Practice address
5355 W DURNING DR, EAGLE, ID 83616-5508
(208) 515-0578
Mailing address
5355 W DURNING DR, EAGLE, ID 83616-5508
(208) 515-0578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2915
ID
Other
Enumeration date
08/28/2017
Last updated
07/21/2022
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