Individual
MRS. JULIE ANN WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP, L
Contact information
Practice address
475 MAHARD DR, TWIN FALLS, ID 83301-0275
(208) 969-0987
(208) 735-9022
Mailing address
475 MAHARD DR, TWIN FALLS, ID 83301-0275
(208) 735-9022
(208) 735-9022
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1507
ID
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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