NPI 1154847606

Correne Fabanich, MS

Practitioner Speech-Language Pathologist Rexburg, ID

Practice location

Address: 36 Professional Plz STE 110, Rexburg, ID 83440-2049
Phone: (208) 359-9570
Fax: (208) 359-9580

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence TSLP-3260 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1154847606
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Aug 2017
Record last updated: 16 Aug 2017

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.