Organization
SPEECH AND LANGUAGE CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE E DAHLBERG M.ED., CCC-SLP (OWNER, SPEECH PATHOLOGIST)
(208) 604-1286
Entity
Organization
Contact information
Practice address
1619 CURLEW DR STE 5, AMMON, ID 83406-4719
(208) 535-1286
(208) 535-1291
Mailing address
1275 SOUTH HIGHLINE DRIVE, IDAHO FALLS, ID 83401
(208) 604-1286
(208) 535-1291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1147
ID
Other
Enumeration date
05/29/2008
Last updated
03/28/2022
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