Individual
MRS. KATIE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
801 POLE LINE RD W STE 3802, TWIN FALLS, ID 83301-5811
(208) 814-3450
(208) 814-3920
Mailing address
801 POLE LINE RD W STE 3802, TWIN FALLS, ID 83301-5811
(208) 814-3450
(208) 814-3920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2005
ID
Other
Enumeration date
08/03/2010
Last updated
02/19/2018
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