Individual
ANNA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
2516 W IDAHO ST, BOISE, ID 83702-4840
(208) 869-7002
Mailing address
6855 W FAIRVIEW AVE, BOISE, ID 83704-8046
(208) 323-8888
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14067265
ID
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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