Individual
BARBARA DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1417 N GARDEN ST, BOISE, ID 83706-2315
(209) 336-7629
Mailing address
1417 N GARDEN ST, BOISE, ID 83706-2315
(209) 336-7629
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1351
ID
Other
Enumeration date
01/19/2014
Last updated
01/19/2014
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