| Doctor Name: | MINDI M WALTERS |
| NPI Number: | 1477991305 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SLP |
| License Number: | SLP-1441 |
| Business Practice Address: | 207 W Georgia Ave Ste 170 Nampa, ID - 836863024 |
| Business Phone Number: | 2084895700 |
| Business Fax Number: | 2084894077 |
| Mailing Address: | 2360 W Willow Pointe Ave, NAMPA |
| State: | ID |
| Postal Code: | 836515021 |
| Phone Number: | 2084895700 |
| Fax Number: | 2084894077 |
| NPI Enumeration Date: | 06/13/2013 |
| NPI Last Update Date: | 06/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP-1441 |
| 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 |