Diana Vander Laan, | |
501 W Havens Ave, Suite 103, Mitchell, SD 57301-4366 | |
(605) 995-6044 | |
(605) 995-6044 |
Full Name | Diana Vander Laan |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 501 W Havens Ave, Mitchell, South Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275848368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Sea Island Rehabilitation Pa |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1841324381 PECOS PAC ID: 9739284613 Enrollment ID: O20070423000000 |
Mailing Address | Practice Location Address |
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Diana Vander Laan, Po Box 1284, Mitchell, SD 57301-7284 Ph: (605) 995-6044 | Diana Vander Laan, 501 W Havens Ave, Suite 103, Mitchell, SD 57301-4366 Ph: (605) 995-6044 |
Kari Pommer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 N Mentzer St, Mitchell, SD 57301 Phone: 605-995-3021 | |
Stacy Rae Thomsen, MA,CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40460 254th St, Mitchell, SD 57301 Phone: 605-996-2899 Fax: 605-996-0721 | |
Ashley Dehaan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 East Havens, Mitchell, SD 57301 Phone: 605-995-6370 Fax: 605-995-6374 | |
Kristi Driscoll, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1023 Palmer Pl, Mitchell, SD 57301 Phone: 605-660-6110 | |
Donna Denure, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 110 N Mentzer St, Mitchell, SD 57301 Phone: 605-995-3021 | |
Laura Joyce Davis, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 S Ohlman St, Mitchell, SD 57301 Phone: 605-996-7701 |