Andrea Lewis Swenson, | |
1110 Call Creek Dr Ste 7, Pocatello, ID 83201-3072 | |
(208) 233-4660 | |
(208) 233-4262 |
Full Name | Andrea Lewis Swenson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1110 Call Creek Dr Ste 7, Pocatello, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366158289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | TSLP-5656 (Idaho) | Secondary |
235Z00000X | Speech-language Pathologist | TSLP-5656 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Andrea Lewis Swenson, 1110 Call Creek Dr Ste 7, Pocatello, ID 83201-3072 Ph: (208) 233-4660 | Andrea Lewis Swenson, 1110 Call Creek Dr Ste 7, Pocatello, ID 83201-3072 Ph: (208) 233-4660 |
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