Individual
AMY HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6855 W FAIRVIEW AVE, BOISE, ID 83704-8046
(208) 323-8888
(208) 323-8889
Mailing address
2166 S ALASKA WAY, MERIDIAN, ID 83642-8131
(928) 606-4630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1906
ID
235Z00000X
Speech-Language Pathologist
SLP1047
AZ
Other
Enumeration date
04/13/2007
Last updated
04/01/2011
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