SearchIdaho235Z00000X

Jessica Anderson, MS, CCC-SLP

NPI 1760194252 · on the registry since 2022 · sole proprietor

Practice

Address
703 N Olivine Pl
Kuna, ID 83634
Phone
(208) 863-9182

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
2022-12-16

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