Individual
MRS. KARRIE CUMMINGS HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1725
(208) 373-1811
Mailing address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1725
(208) 373-1811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1566
ID
Other
Enumeration date
06/14/2010
Last updated
06/03/2015
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