Individual
MICHELLE J LOWRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3152 S BOWN WAY, BOISE, ID 83706-5400
(208) 861-1785
(208) 453-1214
Mailing address
17626 DEER FLAT RD, CALDWELL, ID 83607-9779
(208) 861-1785
(208) 453-1214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 1637
ID
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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