Individual
TAYLOR ANNA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
240 W BURNSIDE AVE STE D, CHUBBUCK, ID 83202-4703
(208) 904-1112
Mailing address
179 PARK LAWN DR APT 4, CHUBBUCK, ID 83202-2399
(208) 206-2073
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-4905
ID
Other
Enumeration date
08/10/2021
Last updated
08/05/2024
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