Individual
KRISTINA IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1399 FILLMORE ST STE 502, TWIN FALLS, ID 83301-3351
(208) 410-9351
Mailing address
188 SOCCORRO DR, JEROME, ID 83338-4932
(208) 410-9351
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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