Specialty Speech Therapy LLC

NPI #1710583265 in Nampa, Idaho

Provider Information

NPI Number: 1710583265
Entity Type: Organization
Organization Name: Specialty Speech Therapy LLC
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Dec 9, 2020
Last Updated: Dec 9, 2020

Practice Location

Address: 2719 E IOWA AVE
City: Nampa
State: Idaho
ZIP Code: 83686-7184
Phone: (323) 632-4353

Authorized Official

Name: SUZANNE MARIE O'HAGAN
Title: OWNER
Phone: (323) 632-4353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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