Organization
SMALL TALK THE SPEECH AND LANGUAGE PRESCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACIE POLLARD M.S. CCC-SLP (CO-OWNER)
(208) 237-8255
Entity
Organization
Contact information
Practice address
210 W BURNSIDE AVE STE C, CHUBBUCK, ID 83202-4916
(208) 237-8255
Mailing address
210 W. BURNSIDE AVE. STE. C, CHUBBUCK, ID 83202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1749
ID
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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