Individual
MEGAN KAE WISKIRCHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3303 S BRAMPTON WAY, BOISE, ID 83706-5309
(801) 641-4442
Mailing address
3303 S BRAMPTON WAY, BOISE, ID 83706-5309
(801) 641-4442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1992
ID
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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