Individual
CHRISTINE MCGREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1833 MILLENIUM WAY, MERIDIAN, ID 83642-1510
(208) 898-1368
Mailing address
36 S ROWENA ST, NAMPA, ID 83651-2656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1297
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01080693
ASHA
—
01
—
2766684102
STATE LICENSE
UT
01
—
SLP-1297
STATE OF IDAHO
ID
Enumeration date
01/29/2007
Last updated
03/21/2011
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