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NPI Code Detail

MEDICARE: MARCIA KORTUM SALOVICH MS CCC-SLP

MEDICARE: MARCIA KORTUM SALOVICH MS CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP1097ID
2235Z00000XSpeech-Language PathologistASHA10005310ID

General Provider Information

NPI Number : 1912113648
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA KORTUM SALOVICH MS CCC-SLP
Provider Business Mailing Address
First Line : 2023 E BOISE AVE
Second Line :
City : BOISE
State : ID
Zip : 83706-5409
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1001 S HILTON ST
Second Line :
City : BOISE
State : ID
Zip : 83705-1925
Country : US
Telephone Number : 208-433-5315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 06/10/2008

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Directions to “ MARCIA KORTUM SALOVICH MS CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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