Doctor Name: | MS. CAULENE MARIE ALLEN |
NPI Number: | 1477872448 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | SLP-1301 |
Business Practice Address: | 520 N Third Ave Sandpoint, ID - 838641507 |
Business Phone Number: | 2082653325 |
Business Fax Number: | 2082631878 |
Mailing Address: | 417 Alexander Way, SANDPOINT |
State: | ID |
Postal Code: | 838648697 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/28/2010 |
NPI Last Update Date: | 05/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP-1301 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |