NPI 1114125747

Mary Carol Calaway, CCCSLP

Practitioner Speech-Language Pathologist Coeur D Alene, ID

Practice location

Address: 2200 Ironwood Pl, Coeur D Alene, ID 83814-2610
Phone: (208) 667-6486
Mailing address: 416 S 13th St, Coeur D Alene, ID 83814-3917

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP-1150 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1114125747
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jul 2007
Record last updated: 8 Jul 2007

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.