Individual
LISA MARY ADAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
955 NE UNION ST, MOUNTAIN HOME, ID 83647-4803
(208) 587-6156
Mailing address
955 NE UNION ST, MOUNTAIN HOME, ID 83647-4803
(208) 587-6156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1220
ID
Other
Enumeration date
05/04/2008
Last updated
05/04/2008
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