Individual
MRS. CECILIA ILENE STOCKDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., S.L.P.
Contact information
Practice address
2609 SUNNYBROOK DR, NAMPA, ID 83686-6332
(208) 467-7298
Mailing address
2609 SUNNYBROOK DR, NAMPA, ID 83686-6332
(208) 467-7298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-2209
ID
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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