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Search › Idaho › 235Z00000X

Miranda Sullivan, MS, CCC-SLP

NPI 1124600697 · on the registry since 2021

Practice

Address
449 S Fitness Pl
Eagle, ID 83616
Phone
(208) 957-6301
Organisation at this address
Ot 4 Kidz, Inc
Ot 4 Kidz, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Sex
Female
Record last updated
2021-04-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho