Individual
MRS. STACEY MARIE TSCHETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
8021 ALFALFA CT, RAPID CITY, SD 57702-8977
(605) 355-8919
Mailing address
8021 ALFALFA CT, RAPID CITY, SD 57702-8977
(605) 355-8919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01078238
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5832762
—
SD
Enumeration date
10/09/2008
Last updated
10/09/2008
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