Whalio Doctors

NPI 1194885855

Jennie Reeves, MSCCCSLP

Practitioner Speech-Language Pathologist Ammon, ID

Practice location

Address
1619 Curlew Dr, Ammon, ID 83406-4719
Phone
(208) 535-1291
Mailing address
PO Box 3629, Idaho Falls, ID 83403-3629

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP-1503 (ID)

Registry record

NPI
1194885855
Entity type
Individual
Sex (as registered)
Female
NPI issued
11 Dec 2006
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.