Individual
KARISSA PECK CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
775 POLE LINE RD W STE 202, TWIN FALLS, ID 83301-5820
(208) 814-2570
Mailing address
1685 VALENCIA ST, TWIN FALLS, ID 83301-5862
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6396
ID
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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