Individual
CATHRYN D CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3422 S 15TH E, STE 101, IDAHO FALLS, ID 83404-8262
(208) 552-1222
(208) 552-3377
Mailing address
3422 S 15TH E, STE 101, IDAHO FALLS, ID 83404-8262
(208) 552-1222
(208) 552-3377
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD1380
ID
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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