Individual
MRS. KIMBERLY ANNE CATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1201 FALLS AVE E, SUITE 36, TWIN FALLS, ID 83301
(208) 734-6700
(208) 734-6795
Mailing address
PO BOX 712, HAGERMAN, ID 83332
(208) 837-4021
(208) 734-6795
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1338
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010142448
BLUE SHIELD
ID
01
—
SPE65
BLUE CROSS
ID
Enumeration date
03/20/2007
Last updated
07/08/2007
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