Organization
RIVERSONG SPEECH AND LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE LEIGH WALLIN MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(208) 298-6183
Entity
Organization
Contact information
Practice address
2313 N 27TH ST, BOISE, ID 83702-0242
(928) 600-4948
Mailing address
2313 N 27TH ST, BOISE, ID 83702-0242
(208) 298-6183
(208) 600-6898
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
05/19/2021
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