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Fabiola Koperberg, MS

Speech-Language Pathologist, in Rexburg, ID. Individual provider (NPI-1).

NPI number1417695453
StatusActive
Last updated in NPPESMay 20, 2022

Details

NPI
1417695453
Entity type
Individual (NPI-1)
Name
Fabiola Koperberg
Credential
MS
Sex
Female
Sole proprietor
No
Enumeration date
May 20, 2022
Certification date
May 20, 2022
Last updated
May 20, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP-4727IDYes

Practice location

36 Professional Plz Ste 110
Rexburg, ID 83440-2049

Phone 208-734-3356

Mailing address

36 Professional Plz Ste 110
Rexburg, ID 83440-2049

Phone 208-359-9570

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Other Speech-Language Pathologist providers in Rexburg, ID

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