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Individual

REBECCA A. BISCHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
167 COUNTRY LANE, JEROME, ID 83338
(208) 324-2443
Mailing address
1180 CORTES LOOP, TWIN FALLS, ID 83301
(208) 404-4119

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 1307
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
808103100
ID
01
SP052
BLUE CROSS OF IDAHO
ID
Enumeration date
06/30/2008
Last updated
07/21/2025
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