| State Of South Dakota | |
|
414 E Clark St, Vermillion, SD 57069-2307 | |
| (605) 677-5474 | |
| (605) 677-5767 |
| Full Name | State Of South Dakota |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 414 E Clark St, Vermillion, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346366044 | NPI | - | NPPES |
| 5830620 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 231H00000X | Audiologist | 37 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| State Of South Dakota 414 E Clark St, Vermillion, SD 57069-2307 Ph: (605) 677-5474 | State Of South Dakota 414 E Clark St, Vermillion, SD 57069-2307 Ph: (605) 677-5474 |
Brouwer Speech And Language Therapy Audiologist Medicare: Not Enrolled in Medicare Practice Location: 720 E Clark St, Vermillion, SD 57069 Phone: 402-235-1336 | |
Dr. Katelin Anne Nightman, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 414 E Clark St, Vermillion, SD 57069 Phone: 605-658-3874 Fax: 605-658-3359 | |
Dr. Marni Lynn Johnson Martin, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 414 E Clark St, Vermillion, SD 57069 Phone: 605-677-5474 | |
Coral Erica Dirks, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 20 S Plum St, Vermillion, SD 57069 Phone: 605-677-3700 | |
Dr. Jennifer Mary Phelan, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 414 E Clark St, Vermillion, SD 57069 Phone: 605-677-5474 | |
Lindsey E Jorgensen, AU.D., PH.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 414 E Clark St, Vermillion, SD 57069 Phone: 605-677-6678 | |
Dr. Teresa James Bellis, PH.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 414 E Clark St, Department Of Communication Disorders, Vermillion, SD 57069 Phone: 605-677-6201 Fax: 605-677-5767 |