AMANDA TATE

Speech-Language Pathologist

Active Individual
NPI: 1528683497

Practice Address

1460 ELK CREEK DR
Idaho Falls, ID 83404

Phone: (208) 521-1622

Specialties

Specialty Code Primary License
Speech-Language Pathologist 235Z00000X Yes TSLP-4302 (ID)

Frequently Asked Questions

NPI 1528683497 is the National Provider Identifier for AMANDA TATE, a Speech-Language Pathologist provider located in Idaho Falls, ID. This NPI was enumerated on June 16, 2020.
AMANDA TATE practices at 1460 ELK CREEK DR, Idaho Falls, ID 83404.

Quick Facts

NPI
1528683497
Type
Individual
Enumerated
Jun 16, 2020
Last Updated
Jun 16, 2020

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