Mendez-Shaw, Kathie Claire

Mendez-Shaw, Kathie Claire is an individual health care provider with primary practice located at 890 N Cole Rd Suite A, Boise ID 83704-8638. 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. Mendez-Shaw, Kathie Claire can be contacted via phone (208) 323-8888.

Contact Information

Primary practice address
890 N Cole Rd Suite A Boise ID 83704-8638
Fax: (208) 323-8889
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1419 Idaho

Profile Details

NPI number 1417012410
LBN Legal business name Mendez-Shaw, Kathie Claire
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417012410 NPPES
Other 10000554 ASHA

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