-- MICHELLE C COPPESS --
Individual Provider (NPI-1)
Active
Speech-Language Pathologist,
Provider Information
- NPI Number
1407012628- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1401 W BIZZTOWN LOOP, HAYDEN, ID, 838355113
- Phone
- (208) 762-3502
Specialties & Taxonomies
Speech-Language Pathologist,
Primary License: ID #SLP 1500