Individual
MISS BROOKE MELANIE BELNAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
150 SHOUP AVE, SUITE 19, IDAHO FALLS, ID 83402-3657
(208) 528-4068
(208) 528-4076
Mailing address
1997 DAKOTA LN, AMMON, ID 83406-4809
(208) 521-3396
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12135700
ID
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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