Organization
CHATTERTOWN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY DANIEL CHATTERTON MS CCC SLP (OWNER)
(208) 751-5308
Entity
Organization
Contact information
Practice address
3483 E 3195 N, KIMBERLY, ID 83341-5353
(208) 751-5308
Mailing address
3483 E 3195 N, KIMBERLY, ID 83341-5353
(208) 751-5308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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