Individual
MRS. LISA ANN CARRIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., SLP
Contact information
Practice address
25587 TEE DR, CALDWELL, ID 83607-8446
(208) 371-2792
Mailing address
25587 TEE DR, CALDWELL, ID 83607-8446
(208) 371-2792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3563
ID
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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