Individual
MRS. MOLLY ANNE REIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP/L
Contact information
Practice address
207 W GEORGIA AVE, SUITE 150, NAMPA, ID 83686-3024
(208) 489-5700
(208) 489-4077
Mailing address
12887 W ELMSPRING ST, BOISE, ID 83713-1617
(208) 995-3909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2095
ID
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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