NPI 1043964679

Brittany Long, MSCCCSLP

Practitioner Speech-Language Pathologist Idaho Falls, ID

Practice location

Address: 1460 Elk Creek Dr, Idaho Falls, ID 83404-8237
Phone: (208) 535-1286
Mailing address: 1462 S Bellin Rd, Idaho Falls, ID 83402-3873

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP-4093 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1043964679
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2022
Record last updated: 11 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.