MRS. Tara T Burrell, M.S, CCC-SLP

NPI #1922260686 in Pocatello, Idaho

Provider Information

NPI Number
1922260686
Entity Type
Individual
Name
MRS. Tara T Burrell, M.S, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
M.S, CCC-SLP
Enumeration Date
Jun 25, 2008
Last Updated
Jun 25, 2008

Practice Location

Address
1110 CALL CREEK DR STE 7
State
Idaho
ZIP Code
83201-3072
Phone
(208) 233-4660

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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