Clough, Jody Elizabeth

Clough, Jody Elizabeth is an individual health care provider with primary practice located at 700 S Main St , Moscow ID 83843-3056. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Clough, Jody Elizabeth can be contacted via phone (208) 883-0086.

Contact Information

Primary practice address
700 S Main St Moscow ID 83843-3056
Phone: (208) 883-0086
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12571 Oregon
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1723 Idaho

Profile Details

NPI number 1467641803
LBN Legal business name Clough, Jody Elizabeth
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2007
Last updated Aug 28th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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