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Organization
STATE OF SOUTH DAKOTA
Active
Organization
STATE OF SOUTH DAKOTA
Active
Other names
USD Scottish Rite SF Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERI JAMES BELLIS PHD,CCC-A,FAAA,F-ASH (ASSOCIATE PROF, DEPARTMENT CHAIR)
(605) 677-5474
Entity
Organization
Contact information
Practice address
520 S 1ST AVE, SIOUX FALLS, SD 57104-6902
(605) 677-5474
(605) 677-5767
Mailing address
414 E CLARK ST, NOTEBOOM HALL, VERMILLION, SD 57069-2307
(605) 677-5474
(605) 677-5767
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
SD
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5830560
—
SD
Enumeration date
03/22/2007
Last updated
11/23/2010
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