Individual
EILA S OLMSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
392 FALLS AVE, TWIN FALLS, ID 83301-3373
(208) 749-3475
Mailing address
3128 E 3500 N, TWIN FALLS, ID 83301-0312
(208) 490-0836
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3615
ID
Other
Enumeration date
08/24/2017
Last updated
04/27/2023
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