Provider Demographics
NPI:1881046530
Name:RULE, ANNA RENEE (MS)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:RENEE
Last Name:RULE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 E EAGLEWOODS LN
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-5426
Mailing Address - Country:US
Mailing Address - Phone:208-283-2251
Mailing Address - Fax:
Practice Address - Street 1:411 E EAGLEWOODS LN
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-5426
Practice Address - Country:US
Practice Address - Phone:208-283-2251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDSLP-2804235Z00000X
OR15399235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist