Individual
TIMBERLY DAWN BRONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCCSLP
Contact information
Practice address
404 N HORTON ST, NAMPA, ID 83651-6541
(208) 466-9292
Mailing address
404 N HORTON ST, NAMPA, ID 83651-6541
(208) 316-4433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3819
ID
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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