| Tabula Rasa Inc | |
|
27094 Ridgeview Springs Rd Hot Springs SD 57747-6033 | |
| (605) 891-4377 | |
| Not Available |
| Full Name | Tabula Rasa Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 27094 Ridgeview Springs Rd, Hot Springs, South Dakota |
| Authorized Official Name and Position | Martin Neary (CREDENTIALING) |
| Authorized Official Contact | 5182443737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabula Rasa Inc 27094 Ridgeview Springs Rd Hot Springs SD 57747-6033 Ph: (605) 891-4377 | Tabula Rasa Inc 27094 Ridgeview Springs Rd Hot Springs SD 57747-6033 Ph: (605) 891-4377 |
| NPI Number | 1336912468 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336912468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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