Individual
ALEXANDRA DEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 W GEORGIA AVE STE 170, NAMPA, ID 83686-3024
(208) 467-1069
Mailing address
207 W GEORGIA AVE STE 170, NAMPA, ID 83686-3024
(208) 467-1069
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-4786
ID
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-4786
NA
ID
Enumeration date
06/09/2021
Last updated
06/09/2021
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