Organization
SPEECH PATHOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA PADRON M.S., CCC-SLP (CEO)
(208) 221-1094
Entity
Organization
Contact information
Practice address
3715 WOODKING DR, IDAHO FALLS, ID 83404-4720
(208) 529-2255
Mailing address
550 AMY LN, AMMON, ID 83406-4542
(208) 221-1094
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
SLP-2122
ID
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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