Individual
ALICIA MARTIN-COWGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
170 2ND ST S, NAMPA, ID 83651-3708
Mailing address
170 2ND ST S, NAMPA, ID 83651-3708
(208) 385-3650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP-3196
ID
235Z00000X
Speech-Language Pathologist
Primary
TSLP 3046
ID
Other
Enumeration date
08/17/2016
Last updated
04/29/2022
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