Individual
MRS. KRISTA JEAN HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
7677 W PORTNEUF RD, POCATELLO, ID 83204-7336
(208) 232-4769
Mailing address
1940 S BONITO WAY STE 190, MERIDIAN, ID 83642-5618
(208) 287-9420
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP2001
ID
Other
Enumeration date
09/24/2010
Last updated
03/07/2023
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