Individual
JULIE KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP
Contact information
Practice address
1060 D ST W, VALE, OR 97918-1107
(541) 473-3131
Mailing address
2819 SHAMROCK AVE, NAMPA, ID 83686-8555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15642
OR
235Z00000X
Speech-Language Pathologist
SLP-3054
ID
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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