NPI 1336512607

Julia Pansewicz

Practitioner Speech-Language Pathologist Driggs, ID

Practice location

Address: 165 Front St, Driggs, ID 83422-5445
Phone: (208) 716-2351
Mailing address: PO Box 881, Wilson, WY 83014-0881

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence TSLP-2786 (ID)

Other Speech-Language Pathologist providers in Idaho →

Registry record

NPI: 1336512607
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2015
Record last updated: 8 Nov 2015

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.