Individual
VIRGINIA RYLES STURDIVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2023 FARMDALE LN, SPEARFISH, SD 57783-7603
(828) 200-2064
Mailing address
2023 FARMDALE LN, SPEARFISH, SD 57783-7603
(828) 200-2064
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI1568
FL
235Z00000X
Speech-Language Pathologist
Primary
1368-SLP
SD
235Z00000X
Speech-Language Pathologist
Primary
SA11623
FL
235Z00000X
Speech-Language Pathologist
SZ5402
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014569900
—
FL
Enumeration date
02/10/2009
Last updated
02/12/2026
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