Boise Speech and Hearing Clinic

NPI #1104099589 in Boise, Idaho

Provider Information

NPI Number
1104099589
Entity Type
Organization
Organization Name
Boise Speech and Hearing Clinic
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Apr 8, 2008
Last Updated
Apr 8, 2008

Practice Location

Address
13176 W PERSIMMON LN
Address 2
SUITE 120
City
Boise
State
Idaho
ZIP Code
83713-1986
Phone
(208) 376-3591

Authorized Official

Name
ALESIA J. HITCHCOCK, M.S.
Title
SPEECH-LANGUAGE PATHOLOGIST
Phone
(208) 376-3591

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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