Individual
MS. AIMEE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
126 11TH ST, IDAHO FALLS, ID 83404-4854
(208) 360-7061
Mailing address
126 11TH ST, IDAHO FALLS, ID 83404-4854
(208) 360-7061
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2604
ID
Other
Enumeration date
07/29/2014
Last updated
09/08/2022
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