Marla K Ambrose SLP

NPI 1689828907 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1689828907
Gender Female
Enumeration Date 11/13/2008
Last Updated 06/01/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
1812 N MIDLAND BLVD
NAMPA ID, 83651-1747, US
Phone (208) 442-2525
Fax (208) 442-2505
Business Location
7052 S COLWOOD PL
BOISE ID, 83709-7373, US
Phone (208) 412-9184
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Idaho
License Number TSLP-1771
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According to our database, Marla K Ambrose SLP NPI is 1689828907, taxonomy code is 235Z00000X and license number is TSLP-1771, license state is located at Idaho. Marla K Ambrose SLP physically located at 1812 N Midland Blvd, Nampa ID, 83651-1747. NPI Number Marla K Ambrose SLP has the Individual type.

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1689828907 NPI number is provided on an as is basis without warranty of any kind. 1689828907 is maintained by the National Plan & Provider Enumeration System. The contents of Marla K Ambrose SLP are for informational purposes only.