Organization
FOXTAIL SPEECH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY UNDZIUS M.S. CCC-SLP (OWNER)
(814) 873-9144
Entity
Organization
Contact information
Practice address
8860 W EVENING STAR LN, BOISE, ID 83709-5306
(814) 918-1476
Mailing address
8860 W EVENING STAR LN, BOISE, ID 83709-5306
(814) 918-1476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/18/2020
Last updated
05/14/2020
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