Laura Dolezal CCC/SLP

NPI 1750798526 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1750798526
Gender Female
Enumeration Date 07/14/2014
Last Updated 07/14/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
859 S YELLOWSTONE HWY
SUITE 1702
REXBURG ID, 83440-5293, US
Phone (208) 351-5791
Fax
Business Location
PO BOX 1
CHESTER ID, 83421-0001, US
Phone (208) 624-3794
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Idaho
License Number SLP-1443
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According to our database, Laura Dolezal CCC/SLP NPI is 1750798526, taxonomy code is 235Z00000X and license number is SLP-1443, license state is located at Idaho. Laura Dolezal CCC/SLP physically located at 859 S Yellowstone Hwy, Rexburg ID, 83440-5293. NPI Number Laura Dolezal CCC/SLP has the Individual type.

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1750798526 NPI number is provided on an as is basis without warranty of any kind. 1750798526 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Dolezal CCC/SLP are for informational purposes only.