Individual
MRS. SHAWNA MURPHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3785 N 2538 E, TWIN FALLS, ID 83301-5772
(208) 732-8414
Mailing address
3785 N 2538 E, TWIN FALLS, ID 83301-5772
(208) 732-8414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 1450
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808103200
—
ID
01
—
SP055
BLUE CROSS OF IDAHO
ID
Enumeration date
07/09/2008
Last updated
09/30/2008
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