IndividualActive
Andrea Snow, M.S. CCC-SLP
NPI 1356900401 · Speech-Language Pathologist · Star, ID
Provider details
- NPI number
- 1356900401
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- SLP-3919 (ID)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
12222 W Bridger Bay Dr
Star, ID 83669-5081
Phone: (208) 391-2773
Fax: (855) 255-0774
Approximate (ZIP-level) locationGet directions
Mailing address
12222 W Bridger Bay Dr
Star, ID 83669-5081
Registry dates
- Enumerated
- 2019-06-12
- Last updated
- 2021-06-28
- Certified
- 2021-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.