| Optimal Speech Pathology Llc | |
|
1605 13th Ave Ne, Watertown, SD 57201-7961 | |
| (605) 254-2820 | |
| (605) 878-0406 |
| Full Name | Optimal Speech Pathology Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1605 13th Ave Ne, Watertown, South Dakota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396483624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Shelly Eileen Holida |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871136549 PECOS PAC ID: 6709268451 Enrollment ID: I20220728001158 |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Speech Pathology Llc 1605 13th Ave Ne, Watertown, SD 57201-7961 Ph: (605) 254-2820 | Optimal Speech Pathology Llc 1605 13th Ave Ne, Watertown, SD 57201-7961 Ph: (605) 254-2820 |
Mrs. Dalynn Michele Schoenefeld, MACCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2819 5th Ave Nw, Watertown, SD 57201 Phone: 605-880-3581 | |
Mrs. Kirsten Elizabeth Titze Blackwell, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 401 9th Ave Nw, Watertown, SD 57201 Phone: 605-882-7700 Fax: 605-882-7990 | |
Mrs. Andrea Michelle Vosberg, MA, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 215 S Maple, Watertown, SD 57201 Phone: 605-886-5777 Fax: 605-886-0790 | |
Ainsley Monize, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 9th St Ne, Watertown, SD 57201 Phone: 605-882-6316 Fax: 605-882-6327 | |
Kristi Stevenson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1100 13th St Ne, Watertown, SD 57201 Phone: 605-882-6340 Fax: 605-882-6365 | |
Emily Frederick, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1701 N Maple, Watertown, SD 57201 Phone: 605-882-6390 Fax: 605-882-6391 | |
Mrs. Carolyn Holien, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 601 11th St Ne, Watertown, SD 57201 Phone: 605-882-6370 |