Lori Wanman MS, CCC-SLP

NPI 1770907719 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1770907719
Gender Female
Enumeration Date 02/11/2014
Last Updated 02/11/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1709 CALDWELL BLVD
NAMPA ID, 83651-1729, US
Phone (208) 489-4480
Fax (208) 489-4073
Business Location
1709 CALDWELL BLVD
NAMPA ID, 83651-1729, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Idaho
License Number SLP-1857
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According to our database, Lori Wanman MS, CCC-SLP NPI is 1770907719, taxonomy code is 235Z00000X and license number is SLP-1857, license state is located at Idaho. Lori Wanman MS, CCC-SLP physically located at 1709 Caldwell Blvd, Nampa ID, 83651-1729. NPI Number Lori Wanman MS, CCC-SLP has the Individual type.

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1770907719 NPI number is provided on an as is basis without warranty of any kind. 1770907719 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Wanman MS, CCC-SLP are for informational purposes only.