MRS. Misty Richardson, MS, CCC-SLP
NPI #1053626093 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1053626093
- Entity Type
- Individual
- Name
- MRS. Misty Richardson, MS, CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS, CCC-SLP
- Enumeration Date
- Aug 14, 2010
- Last Updated
- May 9, 2025
Practice Location
- Address
- 1460 ELK CREEK DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-8237
- Phone
- (208) 535-1286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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