Individual
SARAH KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
921 S. 8TH AVE, MAIL STOP 8116, POCATELLO, ID 83209-8116
(208) 282-2219
(208) 282-4571
Mailing address
921 S. 8TH AVE, MAIL STOP 8116, POCATELLO, ID 83209-8116
(208) 282-2219
(208) 282-4571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1189
ID
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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