Individual
SHELBY MADSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 S DIVISION AVE, SANDPOINT, ID 83864-1759
(208) 265-4514
Mailing address
220 S DIVISION AVE, SANDPOINT, ID 83864-1759
(208) 265-4514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-6281
ID
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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