Individual
HANNALEE KINGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1857 S MILLENIUM WAY STE 120, MERIDIAN, ID 83642-1510
(208) 600-0722
Mailing address
1857 S MILLENIUM WAY STE 120, MERIDIAN, ID 83642-1510
(208) 600-0722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-4825
ID
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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