Organization Name: | IDAHO STATE UNIVERSITY - MERIDIAN |
NPI Number: | 1083860415 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEANNE M JOHNSON (ASSOCIATE CHAIR) |
Mailing Address: | 1311 E Central Dr Meridian |
State: | ID US |
Postal Code: | 836427991 |
Phone Number: | 2083731728 |
Fax Number: | 2083731811 |
NPI Enumeration Date: | 08/18/2008 |
NPI Last Update Date: | 06/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |