Individual
SARAH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13326 PEACEFUL WAY, NAMPA, ID 83686-9618
(208) 941-1822
Mailing address
13326 PEACEFUL WAY, NAMPA, ID 83686-9618
(208) 941-1822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2262
ID
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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