Individual
SHELLY L BOTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2520 E 3707 N, TWIN FALLS, ID 83301-0112
(208) 420-7740
(208) 736-0840
Mailing address
2520 E 3707 N, TWIN FALLS, ID 83301-3006
(208) 420-7740
(208) 736-0840
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1446
ID
Other
Enumeration date
04/02/2007
Last updated
11/21/2011
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