Kimberly Wallis-Rucklos, MA CCC SLP

NPI 1548446420 · on the registry since 2008

Practice

Address: 6855 W Fairview Ave
Ste. 120
Boise, ID 83704
Phone: (208) 323-8888
Fax: (208) 323-8889
Organisation at this address: Ctp Mental Health Counseling
Community Health Clinics, Inc.
Children'S Therapy Place, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 47

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-01-10

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