Individual
MS. ANTONIEA PAULINE BZDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1650 N HILTON ST, BOISE, ID 83706-1734
(208) 321-4898
(208) 321-4859
Mailing address
1650 N HILTON ST, BOISE, ID 83706-1734
(208) 321-4898
(208) 321-4859
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1811
ID
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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