| Axelle Emmanuelle Landis, CCC-SLP | |
|
6333 E Menser Ave, Athol, ID 83801-9426 | |
| (208) 683-2231 | |
| Not Available |
| Full Name | Axelle Emmanuelle Landis |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 6333 E Menser Ave, Athol, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255182606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-5316 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Axelle Emmanuelle Landis, CCC-SLP 6333 E Menser Ave, Athol, ID 83801-9426 Ph: (208) 683-2231 | Axelle Emmanuelle Landis, CCC-SLP 6333 E Menser Ave, Athol, ID 83801-9426 Ph: (208) 683-2231 |
Sarah Desimone, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6101 E Highway 54 Ste A, Athol, ID 83801 Phone: 208-994-3757 Fax: 208-352-3921 | |
Lynne Kaulback Orange, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11111 E Arroyo Ln, Athol, ID 83801 Phone: 650-556-4225 | |
Huckleberry Therapy Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6101 E Highway 54, Ste A, Athol, ID 83801 Phone: 208-994-3757 Fax: 208-352-3921 |