Individual
JAMIE JO GOICOECHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2300 S ORCHARD ST, SUITE B, BOISE, ID 83705-6722
(208) 908-6469
(208) 577-6700
Mailing address
2300 S ORCHARD ST, SUITE B, BOISE, ID 83705-6722
(208) 908-6469
(208) 577-6700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP2265
ID
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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