Individual
MRS. STEPHANIE M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP, QOM
Contact information
Practice address
13075 W PERSIMMON LN STE 120, BOISE, ID 83713-1986
(208) 376-3591
(208) 376-3594
Mailing address
10979 W TIDEWATER CT, BOISE, ID 83713-1138
(208) 340-1642
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
05/07/2024
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