Individual
BARBRA OSTERHOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702-4501
(208) 422-1111
Mailing address
5608 N RIFFLE WAY, BOISE, ID 83714-9011
(208) 853-4478
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1205
ID
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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