MRS. Mary Christine Michener, M.S. CCC SLP

NPI #1386710069 in Twin Falls, Idaho

Provider Information

NPI Number
1386710069
Entity Type
Individual
Name
MRS. Mary Christine Michener, M.S. CCC SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S. CCC SLP
Enumeration Date
Nov 27, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1525 ADDISON AVE E STE 6
State
Idaho
ZIP Code
83301-5383
Phone
(208) 420-1316

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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