Individual
HEATHER L ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4696 W OVERLAND RD STE 228, BOISE, ID 83705-2864
(208) 500-1728
Mailing address
4696 W OVERLAND RD STE 228, BOISE, ID 83705-2864
(208) 500-1728
(208) 908-0501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1070
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
IDTPID015350
—
ID
Enumeration date
04/23/2007
Last updated
07/02/2020
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