Individual
JENNIFER ANN BERTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
8211 W USTICK RD, BOISE, ID 83704-5756
(208) 375-3700
(208) 639-3048
Mailing address
8211 W USTICK RD, BOISE, ID 83704-5756
(208) 375-3700
(208) 639-3048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
14042
OR
235Z00000X
Speech-Language Pathologist
Primary
SLP-1707
ID
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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