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Organization
STATE OF SOUTH DAKOTA
Active
Organization
STATE OF SOUTH DAKOTA
Active
Other names
USD Speech & Hearing Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERI JAMES BELLIS PHD,CCC-A,FAAA (DEPARTMENT CHAIR)
(605) 677-5474
Entity
Organization
Contact information
Practice address
414 E CLARK ST, VERMILLION, SD 57069-2307
(605) 677-5474
(605) 677-5767
Mailing address
414 E CLARK ST, VERMILLION, SD 57069-2307
(605) 677-5474
(605) 677-5767
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
37
SD
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5830620
—
SD
Enumeration date
03/22/2007
Last updated
09/14/2011
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