Individual provider · Type 1 NPI

Vanness Lynn Coonrod, SLP1695

Speech-Language Pathologist · Boise, ID

NPI number 1104064625 Active

Practice location

901 N Curtis Rd, Ste 204
Boise, ID 83706-1338

Fax (206) 367-2674

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP-1695 (ID)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1104064625

Vanness Lynn Coonrod, SLP1695's National Provider Identifier is 1104064625, issued on Jan 22, 2009. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Boise, ID. The record was last updated on Jan 22, 2009.