Individual
LENI SOLOAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCCSLP
Contact information
Practice address
890 N COLE RD, STE A, BOISE, ID 83704-8638
(208) 323-8888
(208) 323-8889
Mailing address
12472 W NORRISTOWN ST, BOISE, ID 83709-8123
(208) 420-0109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1546
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010157677
REGENCE BLUE SHIELD
ID
01
—
12003265
ASHA
—
01
—
SLP05
BLUE CROSS PROVIDER #
ID
Enumeration date
03/14/2007
Last updated
07/08/2007
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