Individual
MRS. SERENA DAWN HUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1110 CALL CREEK DR STE 7, POCATELLO, ID 83201-3072
(208) 233-4660
(208) 233-4262
Mailing address
4672 CHRISTINE ST, CHUBBUCK, ID 83202-6500
(208) 315-4645
(208) 233-4262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1659
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12118765
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION CCC'S AND MEMBERSHIP
—
01
—
SLP-1659
IDAHO SPEECH AND HEARING SERVICES BOARD/SPEECH-LANGUAGE PATHOLOGIST LICENSE
ID
Enumeration date
04/30/2008
Last updated
04/30/2008
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