Individual
JONI GREY LOFTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP-CCC
Contact information
Practice address
7878 W USTICK RD, BOISE, ID 83704-5848
(208) 919-8187
Mailing address
3290 E THOROUGHBRED LN, BOISE, ID 83716-7096
(208) 251-5458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1216
ID
Other
Enumeration date
11/29/2006
Last updated
12/01/2024
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