SearchIdaho235Z00000X

Jonathan Payne, M.S., CCC-SLP

NPI 1649648908 · on the registry since 2015 · sole proprietor

Practice

Address
2327 Coronado St
Idaho Falls, ID 83404
Phone
(208) 542-7250
Organisation at this address
Women'S Healthcare Associates
Idaho Falls Community Hospital Llc
Women'S Healthcare Associates, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-03

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