Individual
LORI WANMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1709 CALDWELL BLVD, NAMPA, ID 83651-1729
(208) 489-4480
(208) 489-4073
Mailing address
1709 CALDWELL BLVD, NAMPA, ID 83651-1729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1857
ID
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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