Individual
MRS. ALLYSON OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2839 E FALCON DR, MERIDIAN, ID 83642-2154
(208) 639-5936
Mailing address
2839 E FALCON DR, MERIDIAN, ID 83642-2154
(208) 639-5936
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1508
ID
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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