Individual
MOLLIE GLASPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16211 N BRINSON ST STE 110, NAMPA, ID 83687-5521
(208) 466-9686
Mailing address
16211 N BRINSON ST STE 110, NAMPA, ID 83687-5521
(208) 466-9686
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-4987
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP-4987
SLP LICENSE
ID
Enumeration date
05/03/2022
Last updated
05/03/2022
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