Individual
TERI OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
600 NORTH ROBBINS ROAD, BOISE, ID 83702
(208) 489-4444
Mailing address
1155 N GLAMORGAN AVE, MERIDIAN, ID 83642-4281
(208) 489-4444
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA - 1464
ID
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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