Individual
REBECCA RENEE FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15081 WIDGEON AVE, CALDWELL, ID 83607-8383
(208) 880-3080
(208) 454-9003
Mailing address
15081 WIDGEON AVE, CALDWELL, ID 83607-8383
(208) 880-3080
(208) 454-9003
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-2124
ID
Other
Enumeration date
08/17/2011
Last updated
06/14/2023
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