Individual
EMILY SPEAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CF-SLP
Contact information
Practice address
8473 IRIE LN, MIDDLETON, ID 83644-4802
(208) 965-0808
Mailing address
8473 IRIE LN, MIDDLETON, ID 83644-4802
(208) 965-0808
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016360
OR
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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