Whalio Doctors

NPI 1275707242

Anna Gale Estes-Waddell, MACCCSLP

Practitioner Speech-Language Pathologist Mountain Home, ID

Practice location

Address
1653 SE Hamilton Rd, Mountain Home, ID 83647-5858
Phone
(208) 587-4658

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 1474 (ID)

Registry record

NPI
1275707242
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Apr 2008
Record last updated
21 Apr 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.