Individual
MS. JEAN GERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SP
Contact information
Practice address
551 E SUNNYSIDE RD, SANDPOINT, ID 83864-8844
(208) 290-1349
Mailing address
551 E SUNNYSIDE RD, SANDPOINT, ID 83864-8844
(208) 290-1349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 1122
ID
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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