Individual
LAIKEN REANN GALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1250 W IRONWOOD DR STE 241, COEUR D ALENE, ID 83814-2682
(208) 419-3575
Mailing address
1250 W IRONWOOD DR STE 241, COEUR D ALENE, ID 83814-2682
(208) 419-3575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-3907
ID
Other
Enumeration date
08/12/2019
Last updated
06/26/2024
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