Individual
MRS. AMY M STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2550 ADDISON AVE E, TWIN FALLS, ID 83301-6749
(208) 308-7801
Mailing address
2205 NISQUALLY ST, TWIN FALLS, ID 83301-5688
(208) 308-7801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1227
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808103600
—
ID
01
—
SP059
BLUE CROSS OF IDAHO
ID
Enumeration date
06/17/2008
Last updated
08/25/2009
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