Doctor Name: | AMY HARDY |
NPI Number: | 1386869642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SLP1047 |
Business Practice Address: | 6855 W Fairview Ave Boise, ID - 837048046 |
Business Phone Number: | 2083238888 |
Business Fax Number: | 2083238889 |
Mailing Address: | 2166 S Alaska Way, MERIDIAN |
State: | ID |
Postal Code: | 836428131 |
Phone Number: | 9286064630 |
Fax Number: | |
NPI Enumeration Date: | 04/13/2007 |
NPI Last Update Date: | 04/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP1047 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
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 |