Whalio Doctors

NPI 1326592767

Jacqueline Lee Brown

Practitioner Speech-Language Pathologist Driggs, ID

Practice location

Address
30 N 1st E, Driggs, ID 83422-5219
Phone
(208) 716-2351
Mailing address
PO Box 611, Driggs, ID 83422-0611

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence TSLP-2991 (ID)

Registry record

NPI
1326592767
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Aug 2016
Record last updated
14 Aug 2016

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.