Individual
MRS. NANCY HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 667-6486
Mailing address
30637 N SAINT JOE DR, SPIRIT LAKE, ID 83869-8805
(208) 623-4008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1407
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-1407
STATE LICENSE
ID
Enumeration date
07/17/2007
Last updated
07/17/2007
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