| Doctor Name: | MRS. JANE C ROBERTS |
| NPI Number: | 1437397650 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, SLP-CCC |
| License Number: | SLP-1744 |
| Business Practice Address: | 2377 Coronado St Idaho Falls, ID - 834047440 |
| Business Phone Number: | 2085351286 |
| Business Fax Number: | 2085351291 |
| Mailing Address: | 1593 Halsey St, IDAHO FALLS |
| State: | ID |
| Postal Code: | 834013068 |
| Phone Number: | 2087578300 |
| Fax Number: | 2085351291 |
| NPI Enumeration Date: | 01/26/2009 |
| NPI Last Update Date: | 07/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP-1744 |
| 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 |