Individual
SUSAN A CARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 S EAGLE RD, MERIDIAN, ID 83642-6351
(208) 706-5000
Mailing address
5006 W OUTLOOK AVE, BOISE, ID 83703-3515
(208) 850-8434
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1635
ID
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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