Individual
NATALIE NIELSEN WHICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
13075 W PERSIMMON LN STE 120, BOISE, ID 83713-1986
(208) 793-7006
Mailing address
1442 N CORMORANT PL APT 205, BOISE, ID 83713-7982
(480) 772-8051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-4362
ID
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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