NPI 1205006376

Kerry Lynn Bowman, MSCCCSLP

Practitioner Speech-Language Pathologist Blackfoot, ID

Practice location

Address: 7 N 600 W, Blackfoot, ID 83221-5533
Phone: (208) 782-8867
Fax: (208) 684-9812
Mailing address: 333 Lark Ln, Pocatello, ID 83201-5503

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP-1386 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1205006376
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2008
Record last updated: 5 Mar 2008

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.