Individual
AMAISHA WIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
168 MCCLURE AVE, NAMPA, ID 83651
(208) 466-1077
Mailing address
168 MCCLURE AVE, NAMPA, ID 83651
(206) 466-1077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2232
ID
Other
Enumeration date
08/08/2012
Last updated
08/20/2013
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