Individual
SARA NICHOLE BERGSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP CCC
Contact information
Practice address
10873 W SENECA DR, BOISE, ID 83709-3946
(208) 514-5660
Mailing address
10873 W SENECA DR, BOISE, ID 83709-3946
(208) 514-5660
(208) 467-2201
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2264
ID
Other
Enumeration date
08/22/2011
Last updated
03/24/2021
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