Individual
SHELLY RAE ASHBOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
147 S MERIDIAN, RUPERT, ID 83350-8701
(208) 390-1139
Mailing address
147 S MERIDIAN, RUPERT, ID 83350-8701
(208) 390-1139
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1978
ID
Other
Enumeration date
04/26/2012
Last updated
09/01/2015
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