Provider Demographics
NPI:1336871367
Name:THOMPSEN, DAPHNE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DAPHNE
Middle Name:
Last Name:THOMPSEN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:DAPHNE
Other - Middle Name:
Other - Last Name:DARLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9107 W USTICK RD APT 101
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-5560
Mailing Address - Country:US
Mailing Address - Phone:208-867-6434
Mailing Address - Fax:
Practice Address - Street 1:1835 WILDWOOD ST
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-5081
Practice Address - Country:US
Practice Address - Phone:208-867-6434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2023-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist