Individual
AMY WHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
449 S FITNESS PL, EAGLE, ID 83616-6828
(208) 957-6301
(208) 228-0585
Mailing address
6826 W MCMULLEN ST, BOISE, ID 83709-1954
(602) 510-3223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2533
ID
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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