Individual
ANNE LEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1775 W STATE ST, 248, BOISE, ID 83702-3924
(208) 863-8370
Mailing address
1775 W STATE ST, 248, BOISE, ID 83702-3924
(208) 863-8370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1331
ID
Other
Enumeration date
01/27/2014
Last updated
08/20/2014
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