Childs Play, LLC

NPI #1598086126 in Victor, Idaho

Provider Information

NPI Number
1598086126
Entity Type
Organization
Organization Name
Childs Play, LLC
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Jun 17, 2010
Last Updated
Jul 10, 2012

Practice Location

Address
73 NORTH MAIN
City
Victor
State
Idaho
ZIP Code
83455
Phone
(208) 787-6900

Authorized Official

Name
MRS. KIMBERLY RICHARDSON GUTIERREZ, M.A., CCC/SLP
Title
SPEECH-LANGUAGE PATHOLOGIST
Phone
(307) 413-1829

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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