MADISON GATES
Individual Provider (NPI-1)
Active
Speech-Language Pathologist,
Provider Information
- NPI Number
1063370054- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 240 W BURNSIDE AVE STE D, CHUBBUCK, ID, 832024703
- Phone
- (205) 940-1112
Specialties & Taxonomies
Speech-Language Pathologist,
Primary #4171175