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Individual

RIAN NOEL CHATTERTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP, COM,QOM

Contact information

Practice address
8601 W EMERALD ST STE 150, BOISE, ID 83704-4841
(208) 793-7006
(208) 793-7007
Mailing address
8601 W EMERALD ST STE 150, BOISE, ID 83704-4841
(208) 793-7006
(208) 793-7007

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1312
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932501558
ID
Enumeration date
05/17/2007
Last updated
07/21/2021
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