Individual
MS. MAREN ELIZABETH HOLLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
600 ROBBINS RD, BOISE, ID 83702-4539
(208) 489-4444
Mailing address
1407 LEADVILLE AVE, BOISE, ID 83706-3723
(208) 424-1512
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1393
ID
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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