Childs Play, Llc | |
73 North Main, Victor, ID 83455 | |
(208) 787-6900 | |
Not Available |
Full Name | Childs Play, Llc |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 73 North Main, Victor, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598086126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP1143 (Idaho) | Primary |
Mailing Address | Practice Location Address |
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Childs Play, Llc Psc 485 Box 351, Fpo, AP 96321-0004 Ph: () - | Childs Play, Llc 73 North Main, Victor, ID 83455 Ph: (208) 787-6900 |
Mrs. Kimberly Richardson Gutierrez, M.A., CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 73 N Main St, Suite 3, Victor, ID 83455 Phone: 208-201-5621 | |
Mrs. Carlen Williams Hervig, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 73 North Main Street, Victor, ID 83455 Phone: 208-705-7868 |