Individual
JESS SEYMOUR BOEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS., CCC, SLP
Contact information
Practice address
13176 W PERSIMMON LN, STE. 120, BOISE, ID 83713-5063
(208) 376-3591
(208) 376-3594
Mailing address
13176 W PERSIMMON LN, STE. 120, BOISE, ID 83713-5063
(208) 376-3591
(208) 376-3594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-1138
ID
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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