ANNA G ESTES WADDELL

ADVANCED THERAPY CARE PLLC

Dr ANNA G ESTES WADDELL is a female medical professional, specializing in Qualified Speech Language Pathologist. She graduated in 1978.

Contact

ADVANCED THERAPY CARE PLLC

245 N 3RD
MOUNTAIN HOME
ID
836472734

Tel: 2085878255

ANNA G ESTES WADDELL Information

Npi 1275707242
Pac Id 3870765613
Professional Enrollment Id I20111020000387
Last Name ESTES WADDELL
First Name ANNA
Middle Name G
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 1978
Primary Specialty QUALIFIED SPEECH LANGUAGE PATHOLOGIST
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ADVANCED THERAPY CARE PLLC
Group Practice Pac Id 6406049469
Number Of Group Practice Members 7
Line 1 Street Address 245 N 3RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MOUNTAIN HOME
State ID
Zip Code 836472734
Phone Number 2085878255
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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