Individual
REBECCA LYNN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
68 S BALTIC PL, MERIDIAN, ID 83642-5935
(208) 898-0988
Mailing address
266 W WHITE SANDS DR, MERIDIAN, ID 83646-9070
(208) 989-8050
(208) 898-9022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1341
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010155771
BLUE SHIELD PROVIDER NUMB
ID
01
—
SPL03
BLUE CROSS PROVIDER NUMBE
ID
Enumeration date
02/05/2007
Last updated
04/09/2018
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