Search

KYLIE MICHELLE BULL CCC-SLP

Individual Provider (NPI-1) Active

Speech-Language Pathologist,

Provider Information

NPI Number
1063935815
Provider Type
Individual Provider (NPI-1)
Credentials
CCC-SLP
Status
Active

Contact & Location

Address
1409 W MAIN ST STE 120, BOISE, ID, 837025215
Phone
(208) 370-5857
Fax
(208) 506-6312

Specialties & Taxonomies

Speech-Language Pathologist, Primary License: ID #TSLP-3247

All Addresses

MAILING

935 E WINDING CREEK DR STE 120

EAGLE, ID, 836167242

(208) 938-4748

LOCATION

1409 W MAIN ST STE 120

BOISE, ID, 837025215

(208) 370-5857