Individual
KRISTA SHINDLEDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7621 N ROE AVE, BOISE, ID 83714-2186
(480) 299-6451
Mailing address
7621 N ROE AVE, BOISE, ID 83714-2186
(480) 299-6451
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-5028
ID
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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