Individual
TARA DAWN TEMPERLY-LEIDIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-6623
(641) 621-2223
Mailing address
405 MONROE ST, PELLA, IA 50219-1189
(641) 628-6623
(641) 621-2223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01434
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01434
IOWA LICENSE
IA
Enumeration date
02/10/2016
Last updated
02/18/2016
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