NPI 1063684421

Jeffrey D. Anderson, MSCCCSLP

Practitioner Speech-Language Pathologist Rexburg, ID

Practice location

Address: 393 E 2nd N, Rexburg, ID 83440
Phone: (208) 359-9570
Fax: (208) 359-9580

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP-1119 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1063684421
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Mar 2008
Record last updated: 1 Sep 2009

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.